JENA WAGNER APRN
NPI 1598629172
Nurse Practitioner - Family in Lakemoor, IL

Active since December 09, 2025PECOS EnrolledAccepts Medicare Assignment
561 SUMMER BLVD APT 303, LAKEMOOR, IL 60051(847) 650-8958 Get Directions Write a Review

NPPES record last updated: April 11, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Apr 11, 2026, Dec 9, 2025 (2 updates tracked since 2025).

About Jena Wagner Aprn NPPES

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

JENA WAGNER APRN (NPI 1598629172) is an individual family provider in Lakemoor, Illinois, licensed in Illinois (209.035260) and active in the NPI registry since December 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1598629172
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJENA WAGNERCredential: APRN
Location Address561 SUMMER BLVD APT 303Lakemoor, IL 60051-6641
Mailing Address561 Summer Blvd Apt 303Lakemoor, IL 60051-6641
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateDecember 9, 2025
Last NPPES UpdateApril 11, 20262 updates tracked since enumeration
NPPES CertifiedApril 11, 2026
✔ NPI 1598629172 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
License✔ Licensed in IL · 209.035260
Also ListedRegistered NurseTaxonomy 163W00000X · License 041508241 (IL)
561 SUMMER BLVD APT 303, Lakemoor, IL 60051

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

Jena Wagner Aprn 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 ID6204300460
PECOS Enrollment IDI20260630000572
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 60051 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

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 Jena Wagner's NPI number?

The NPI number for Jena Wagner is 1598629172. It was assigned to this individual provider in the NPPES registry on December 9, 2025.

Where is Jena Wagner located?

Jena Wagner practices at 561 Summer Blvd Apt 303, Lakemoor, IL 60051. The listed phone number is (847) 650-8958.

What is Jena Wagner's specialty?

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

Is Jena Wagner enrolled in Medicare?

Yes. Jena 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 Jena Wagner was last updated on April 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.