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KATIE JO WACKER PA-C
NPI 1144796210
Physician Assistant in Gainesville, GA

Active since October 16, 2018PECOS Enrolled
82.55/100
CMS Quality Rating
1211 SHERWOOD PARK DR NE STE A, GAINESVILLE, GA 30501(770) 219-3202 Get Directions Write a Review

NPPES record last updated: March 28, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 14, 2018, Oct 16, 2018 (2 updates tracked since 2018).

About Katie Jo Wacker Pa-c NPPES

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

KATIE JO WACKER PA-C (NPI 1144796210) is an individual physician assistant in Gainesville, Georgia and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1144796210
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKATIE JO WACKERCredential: PA-C
Location Address1211 SHERWOOD PARK DR NE STE AGainesville, GA 30501-3444
Mailing AddressPo Box 742616Atlanta, GA 30374-2616 · (770) 219-8420
Phone(770) 219-3202
Sole ProprietorNo
Enumeration DateOctober 16, 2018
Last NPPES UpdateMarch 28, 20192 updates tracked since enumeration
✔ NPI 1144796210 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License 009076 (GA)
1211 SHERWOOD PARK DR NE STE A, Gainesville, GA 30501
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Katie Jo Wacker Pa-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 30501 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

82.55/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.14
Promoting Interoperability100
Improvement Activities40
Cost60.7

Other Providers at the Same Location NPPES 15

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

JONATHAN BRIAN HART PA
Physician Assistant (Surgical)
1211 SHERWOOD PARK DR NE STE A
GAINESVILLE, GA 30501
Hall County (770) 219-3202
DR. TIMOTHY JOHN STEVENS M.D.
Surgery (Surgical Critical Care)
1211 SHERWOOD PARK DR NE STE A
GAINESVILLE, GA 30501
Hall County (770) 219-3202
RICHARD L THOMAS M.D.
Orthopaedic Surgery (Orthopaedic Trauma)
1211 SHERWOOD PARK DR NE STE A
GAINESVILLE, GA 30501
Hall County (770) 219-3202
ERICA ELIZABETH WEST
Physician Assistant (Medical)
1211 SHERWOOD PARK DR NE STE A
GAINESVILLE, GA 30501
Hall County (770) 219-3202
KATRINA MARIE NATALE PARKER AGACNP
Nurse Practitioner (Acute Care)
1211 SHERWOOD PARK DR NE STE A
GAINESVILLE, GA 30501
Hall County (770) 219-9000
SHANE LEON GIDDENS PA-C
Physician Assistant (Surgical)
1211 SHERWOOD PARK DR NE STE A
GAINESVILLE, GA 30501
Hall County (770) 219-3202
SORIN GEORGE CIRCA PA
Physician Assistant
1211 SHERWOOD PARK DR NE STE A
GAINESVILLE, GA 30501
Hall County (770) 219-3202
KELLY-ANN PETERS PA-C
Physician Assistant (Surgical)
1211 SHERWOOD PARK DR NE STE A
GAINESVILLE, GA 30501
Hall County (770) 219-3202

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 Katie Jo Wacker's NPI number?

The NPI number for Katie Jo Wacker is 1144796210. It was assigned to this individual provider in the NPPES registry on October 16, 2018.

Where is Katie Jo Wacker located?

Katie Jo Wacker practices at 1211 Sherwood Park Dr NE Ste A, Gainesville, GA 30501. The listed phone number is (770) 219-3202.

What is Katie Jo Wacker's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Katie Jo Wacker enrolled in Medicare?

Yes. Katie Jo Wacker is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Katie Jo Wacker was last updated on March 28, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.