JASON R HAGERTY NP-C
NPI 1073928537
Nurse Practitioner - Family in Palmetto, FL

Q: What is Jason Hagerty's NPI number?

The NPI number for Jason Hagerty is 1073928537. It was assigned to this individual provider in the NPPES registry on June 24, 2014.

Q: What is Jason Hagerty's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Jason Hagerty was last updated on November 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since June 24, 2014PECOS Enrolled

1120 10TH ST E, PALMETTO, FL 34221(941) 847-7903(941) 847-7919 Get Directions Write a Review

NPPES record last updated: November 4, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 4, 2021, Aug 17, 2021, Aug 31, 2020 and 2 more (5 updates tracked since 2019).

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About Jason R Hagerty Np-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JASON R HAGERTY NP-C (NPI 1073928537) is an individual family provider in Palmetto, Florida, licensed in Florida (ARNP9396930) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073928537

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameJASON R HAGERTYCredential: NP-C

Location Address1120 10TH ST EPalmetto, FL 34221-4134

Mailing Address5130 Sunforest Dr Ste 300Tampa, FL 33634-6327 · (727) 824-0780 · Fax (727) 568-6011

Phone(941) 847-7903

Fax(941) 847-7919

Sole ProprietorYes

Enumeration DateJune 24, 2014

Last NPPES UpdateNovember 4, 20215 updates tracked since enumeration

NPPES CertifiedNovember 4, 2021

✔ NPI 1073928537 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Licenses✔ Licensed in FL · ARNP9396930✔ Licensed in OH · COA.16064-NP

Also ListedClinic/Center · Urgent CareTaxonomy 261QU0200X · License COA.16064-NP (OH)

1120 10TH ST E, Palmetto, FL 34221

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Other Identifiers 1

Medicaid014664800FL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jason R Hagerty Np-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34221 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SUZANNE SANDRA JOHNSON D.O.

Family Medicine