Jaclyn Anne Wagner, FNP in Saint Augustine, FL

Jaclyn Anne Wagner, FNP is a medicare enrolled "Nurse Practitioner - Family" in Saint Augustine, Florida. She graduated from nursing school in 2010 and has 14 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Palm Harbor Family Practice And Walk-in Clinic, P.a and her current practice location is 110 Health Park Blvd, Saint Augustine, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 823-3401.

Jaclyn Anne Wagner is licensed to practice in Florida (license number APRN11020833) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1720372964.

Contact Information

	Jaclyn Anne Wagner, FNP
	110 Health Park Blvd, Saint Augustine, FL 32086-5776
	(904) 823-3401
	(904) 829-8649

Map and Direction

Provider's Profile

Full Name	Jaclyn Anne Wagner
Gender	Female
Speciality	Nurse Practitioner
Experience	14 Years
Location	110 Health Park Blvd, Saint Augustine, Florida
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jaclyn Anne Wagner graduated from nursing school in 2010

NPI Data:

NPI Number: 1720372964
Provider Enumeration Date: 06/06/2011
Last Update Date: 11/04/2024

Medicare PECOS Information:

PECOS PAC ID: 4880862630
Enrollment ID: I20230918003983

Medical Identifiers

Medical identifiers for Jaclyn Anne Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720372964	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	APRN11020833 (Florida)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Florida Hospital Flagler	Palm coast, FL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Palm Harbor Family Practice And Walk-in Clinic, P.a	9133108541	10

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jaclyn Anne Wagner allows following entities to bill medicare on her behalf.

Entity Name	Palm Harbor Family Practice And Walk-in Clinic, P.a
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831311810 PECOS PAC ID: 9133108541 Enrollment ID: O20040719000940

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jaclyn Anne Wagner is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Jaclyn Anne Wagner, FNP Po Box 740861, Atlanta, GA 30374-0861 Ph: (904) 819-4539	Jaclyn Anne Wagner, FNP 110 Health Park Blvd, Saint Augustine, FL 32086-5776 Ph: (904) 823-3401

Reviews and Comments

Nurse Practitioner Nurses in Saint Augustine, FL

Lucie Davis, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 363 Chasewood Dr, Saint Augustine, FL 32095 Phone: 408-759-2838
Samantha D Reynolds, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 Health Park Blvd Ste 3002, Saint Augustine, FL 32086 Phone: 904-819-1500 Fax: 904-810-1023
Ms. Katrina Shanell General, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 131 Bonair Dr, Saint Augustine, FL 32092 Phone: 904-463-1778
Eli Billeter, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 128 Moultrie Crossing Ln, Saint Augustine, FL 32086 Phone: 904-819-5155
Stephanie Digirolamo, ARNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 167 Silver Glen Ave, Saint Augustine, FL 32092 Phone: 904-525-1302
Dr. Deborah Fisher Terry, DNP, ARNP, ANP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2021 Crown Dr, Totalcaring Health Education & Staffing, Inc., Saint Augustine, FL 32092 Phone: 904-347-3031 Fax: 904-940-9924
Mr. Brian Emerson, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Orthopaedic Pl, Saint Augustine, FL 32086 Phone: 904-825-0540 Fax: 904-825-2490

Jaclyn Anne Wagner, FNP - Medicare Nurse Practitioner in Saint Augustine, FL