MRS. KERI JEAN WAGNER N.P.
NPI 1053433474
Nurse Practitioner - Family in Commack, NY
About Mrs. Keri Jean Wagner N.p. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. KERI JEAN WAGNER N.P. (NPI 1053433474) is an individual family provider in Commack, New York, licensed in New York (F334793) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2005).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mrs. Keri Jean Wagner N.p. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11725 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
COMMACK, NY 11725
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Keri Wagner's NPI number?
The NPI number for Keri Wagner is 1053433474. It was assigned to this individual provider in the NPPES registry on April 5, 2007.
Where is Keri Wagner located?
Keri Wagner practices at 650 Commack Rd, Commack, NY 11725. The listed phone number is (631) 623-4000.
What is Keri Wagner's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Keri Wagner enrolled in Medicare?
Yes. Keri Wagner is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
When was this NPI record last updated?
The NPPES record for Keri Wagner was last updated on May 13, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mrs. Keri Jean Wagner, N.P. · NPI 1053433474
Family physician in Commack, New York. Individual provider, active in the CMS NPPES registry since April 5, 2007.
## Identity
- **NPI:** 1053433474 (Entity type: Individual)
- **Enumerated:** April 5, 2007
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** F334793 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 650 COMMACK RD, Commack, NY 11725-5404
- **Phone:** (631) 623-4000 · **Fax:** (631) 864-2787
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2005
## Record status
- **NPPES last updated:** May 13, 2010
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Source: [NPI Profile](https://npiprofile.com/npi/1053433474) · Data from the CMS NPPES public registry.