Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Miles Wagner, AGACNP-BC

Individual provider Gerontology Nurse Practitioner · NPI 1356056873

Miles Wagner, AGACNP-BC is a Nurse Practitioner in Meridian, Mississippi. Qualified in 2024, 2 years ago. Practices with Hospitalist Services of Meridian PA, a 43-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
2
Licensed in
MS
In the registry since
2023
Specialties on file
2

Practice location Address checks out

2124 14th St
Meridian, MS 39301-4040
Phone: (601) 553-6000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1102 Constitution Ave, Meridian, MS 39301-4001 — (601) 553-6000

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 906964 (MS)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 906964 (MS)

Record details

NPI number1356056873
Entity typeIndividual (Type 1)
GenderMale
Credentials AGACNP-BC
Sole proprietorYes
NPI enumeratedJanuary 19, 2023
Last updated in NPPESMay 6, 2025
Certification dateMay 6, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Hospitalist Services Of Meridian Pa — 43 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Meridian