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JENNIFER ANN WAGNER NP
NPI 1346459591
Nurse Practitioner - Family in Nyack, NY

Active since May 22, 2007PECOS EnrolledAccepts Medicare Assignment
255 FIFTH AVENUE, NYACK, NY 10960(845) 362-1750(845) 362-1577 Get Directions Write a Review

NPPES record last updated: June 21, 2010. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Jennifer Ann Wagner Np NPPES

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

JENNIFER ANN WAGNER NP (NPI 1346459591) is an individual family provider in Nyack, New York, licensed in New York (334755) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS, is affiliated with Nyack Hospital, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1346459591
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJENNIFER ANN WAGNERCredential: NP
Location Address255 FIFTH AVENUENyack, NY 10960-1824
Mailing Address255 Fifth AvenueNyack, NY 10960-1824 · (845) 362-1750 · Fax (845) 362-1577
Phone(845) 362-1750
Fax(845) 362-1577
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateMay 22, 2007
Last NPPES UpdateJune 21, 2010
✔ NPI 1346459591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · 334755
255 FIFTH AVENUE, Nyack, NY 10960
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jennifer Ann Wagner Np 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.

PECOS PAC ID5092871483
PECOS Enrollment IDI20090310000564
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.

Medicare Billing Reassignment

Medicare enrollment records show Jennifer Wagner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

White Plains Medical Diagnostic Services, PC
Same address
Internal Medicine
160 N MIDLAND AVE
Nyack, NY 10960
  • Reassigned Medicare billing, New York enrollment
  • 130 clinicians in this Medicare group
NPI 1689955338 (845) 348-2000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
509 services241 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
346 services147 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Nyack Hospital

Acute Care Hospitals · Nyack, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number330104
Location160 North Midland AvenueNyack, NY 10960 · Rockland County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10960 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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 3

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

MATHEW LONBERG MD
Internal Medicine (Hematology)
255 FIFTH AVENUE
NYACK, NY 10960
Rockland County (845) 362-1750
BRADLEY J COHEN MD
Internal Medicine (Hematology)
255 FIFTH AVENUE
NYACK, NY 10960
Rockland County (845) 362-1750
ANNA W KOMOROWSKI MD
Internal Medicine (Hematology)
255 FIFTH AVENUE
NYACK, NY 10960
Rockland County (845) 362-1750

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 Jennifer Wagner's NPI number?

The NPI number for Jennifer Wagner is 1346459591. It was assigned to this individual provider in the NPPES registry on May 22, 2007.

Where is Jennifer Wagner located?

Jennifer Wagner practices at 255 Fifth Avenue, Nyack, NY 10960. The listed phone number is (845) 362-1750.

What is Jennifer Wagner's specialty?

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

Is Jennifer Wagner enrolled in Medicare?

Yes. Jennifer 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.

Which organization bills Medicare for Jennifer Wagner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Wagner reassigns Medicare benefits to White Plains Medical Diagnostic Services, PC (Nyack, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jennifer Wagner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Jennifer Wagner affiliated with any hospitals?

According to CMS data, Jennifer Wagner is affiliated with Nyack Hospital.

When was this NPI record last updated?

The NPPES record for Jennifer Wagner was last updated on June 21, 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.