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MS. JEAN M. WALLNER P.A.-C
NPI 1639220973
Physician Assistant in Tampa, FL

Active since January 15, 2007PECOS EnrolledAccepts Medicare Assignment
94.93/100
CMS Quality Rating
7001 N DALE MABRY HWY STE 10, TAMPA, FL 33614(813) 497-9661(813) 615-8468 Get Directions Write a Review

NPPES record last updated: February 12, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Jean M. Wallner P.a.-c NPPES

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

MS. JEAN M. WALLNER P.A.-C (NPI 1639220973) is an individual physician assistant in Tampa, Florida, licensed in Florida (PA9104785) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS, is affiliated with Florida Hospital Carrollwood, and maintains a secondary practice location in Tampa.

NPPES Registry Identity

NPI1639220973
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMS. JEAN M. WALLNERCredential: P.A.-C
Location Address7001 N DALE MABRY HWY STE 10Tampa, FL 33614
Mailing Address7001 N Dale Mabry Hwy Ste 10Tampa, FL 33614-3910 · (813) 497-9661 · Fax (813) 615-8468
Phone(813) 497-9661
Fax(813) 615-8468
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateJanuary 15, 2007
Last NPPES UpdateFebruary 12, 2019
✔ NPI 1639220973 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in FL · PA9104785
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.
7001 N DALE MABRY HWY STE 10, Tampa, FL 33614
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Secondary Practice Location 1

Location 113330 Usf Laurel DrTampa, FL 33612-6601 · Phone (813) 974-2201

Other Identifiers 2

Medicaid017063300FL
OtherVRY4KFL · Blue Cross Blue Shield

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed.Insurance ›

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

Ms. Jean M. Wallner P.a.-c 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 ID4688649791
PECOS Enrollment IDI20110720000474
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.

Areas of Expertise CMS Part B claims 4

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.
165 services78 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
21 services20 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
13 services11 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
12 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Florida Hospital Carrollwood

Acute Care Hospitals · Tampa, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100069
Location7171 N Dale Mabry HwyTampa, FL 33614 · Hillsborough County
Emergency services

Adventhealth Tampa

Acute Care Hospitals · Tampa, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100173
Location3100 E Fletcher AveTampa, FL 33613 · Hillsborough County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33614 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
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

94.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality77.03
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
100%102 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
25%220 patients2/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 2

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

DR. HUMBERTO A COTO M.D.
Internal Medicine (Interventional Cardiology)
7001 N DALE MABRY HWY STE 10
TAMPA, FL 33614
Hillsborough County (813) 558-8828
DR. PAVAN DILIP KAPADIA M.D.
Internal Medicine (Interventional Cardiology)
7001 N DALE MABRY HWY STE 10
TAMPA, FL 33614
Hillsborough County (813) 497-9661

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 Jean Wallner's NPI number?

The NPI number for Jean Wallner is 1639220973. It was assigned to this individual provider in the NPPES registry on January 15, 2007.

Where is Jean Wallner located?

Jean Wallner practices at 7001 N Dale Mabry Hwy Ste 10, Tampa, FL 33614. The listed phone number is (813) 497-9661.

What is Jean Wallner's specialty?

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

Is Jean Wallner enrolled in Medicare?

Yes. Jean Wallner 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.

What insurance does Jean Wallner accept?

Health plans from AvMed list Jean Wallner as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jean Wallner affiliated with any hospitals?

According to CMS data, Jean Wallner is affiliated with Florida Hospital Carrollwood and Adventhealth Tampa.

When was this NPI record last updated?

The NPPES record for Jean Wallner was last updated on February 12, 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.