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Active NPI 1407618739 Individual Practitioner Male Practitioner

Devon Wagner , APRN

Nurse Practitioner - Primary Care • Issaquah, WA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Devon Wagner, APRN is a certified Nurse Practitioner - Primary Care practicing in Issaquah, WA. With approximately 2 years of clinical experience since completing medical education in 2024, Devon Wagner delivers high-quality medical care to the local community at 5708 E. LAKE SAMMANISH PKWY SE.

Devon Wagner is affiliated with Overlake Medical Clinics Llc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

5708 E. Lake Sammanish Pkwy Se

Issaquah, WA 98029

Telephone 4256885777
Associated Practice Facility / Clinic
🏢 Overlake Medical Clinics Llc Facility NPI 1871745703

Medicare Profile & Education

Medical School

Other

Graduation Year

2024

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Primary Care in Issaquah, WA

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
2 Yrs -9.0 yrs vs City Avg
City Avg: 11.0 Yrs
State Avg: 10.0 Yrs
Regional Practice Density
2 Specialists

Practicing in Issaquah, WA (197 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wagner (2 Years) 2 Yrs
Issaquah Specialty Average (11.0 Years) 11.0 Yrs

Medical Specialties & State Licenses

CMS Verified: 2024-08-23
Nurse Practitioner - Primary Care Primary Specialty

NUCC Taxonomy Code: 363LP2300X

State License WA AP61598671

Definition to come...

Registered Nurse

NUCC Taxonomy Code: 163W00000X

State License WA 60929310

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Hospital & Practice Group Affiliations

Overlake Medical Clinics Llc

5708 E Lake Samm Pkwy Se, Issaquah, WA 980298942

Phone: 4256885488

Overlake Medical Clinics Llc

1750 112th Ave Ne, Bellevue, WA 980043772

Phone: 4256885460

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
Dr. Sarah Hiam , DO

Family Medicine

NPI 1083751333

Doctor of Osteopathic Medicine (D.O.)

Sara Crauer

Nurse Practitioner

NPI 1376416065
NPI 1497788004

Doctor of Medicine (M.D.)

Dr. Dean Nair , MD

Family Medicine

NPI 1639481500

Doctor of Medicine (M.D.)

Dr. Lem Smith , MD

Family Medicine

NPI 1700129475

Doctor of Medicine (M.D.)

Dr. Krishna Satya , MD

Emergency Medicine

NPI 1720038508

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
👤
Provider Name / Credentials Updated August 23, 2024

Recorded as DEVON WAGNER, APRN

NPI Profile Active January 23, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location January 23, 2024

Registered at 5708 E. LAKE SAMMANISH PKWY SE, ISSAQUAH, WA 98029 (Tel: 4256885777)

📍
Updated Business Mailing Address January 23, 2024

Registered at 5708 E. LAKE SAMMANISH PKWY SE, ISSAQUAH, WA 98029 (Tel: 4256885777)

👤
Provider Name / Credentials Updated January 23, 2024

Recorded as DEVON WAGNER, RN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 23, 2024

Registered Nurse (License #60929310 in WA)

🟢
Initial NPI Registration & Enumeration January 23, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1407618739
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 23, 2024
Last Update: August 23, 2024
Sole Proprietor: No

Mailing Address

5708 E. Lake Sammanish Pkwy Se

Issaquah, WA 98029

Phone: 4256885777

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.