JACKIE FLOYD HAGENBAUMER
NPI 1710691274
Nurse Anesthetist, Certified Registered in Jacksonville, FL

NPI Status: Active since January 10, 2023

Contact Information

655 W 8TH ST
JACKSONVILLE, FL
ZIP 32209
Phone: (904) 244-0411

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  • Individual
  • Female
  • Years of Experience 4
  • Nurse Anesthetist, Certified Registered
  • Accepts Medicare Approved Payment

About JACKIE HAGENBAUMER

This page provides the complete NPI Profile along with additional information for Jackie Hagenbaumer, a provider established in Jacksonville, Florida with a medical specialization in Nurse Anesthetist, Certified Registered and more than 4 years of experience. The healthcare provider is registered in the NPI registry with number 1710691274 assigned on January 2023. The practitioner's primary taxonomy code is 367500000X with license number 11023863 (FL). The provider is registered as an individual and her NPI record was last updated 3 years ago.

NPI
1710691274
Provider Name
JACKIE FLOYD HAGENBAUMER
Gender
Female
Entity Type
Individual
Location Address
655 W 8TH ST JACKSONVILLE, FL 32209
Location Phone
(904) 244-0411
Mailing Address
9479 HECKSCHER DR JACKSONVILLE, FL 32226
Mailing Phone
(352) 214-4761
Medical School Name
OTHER
Graduation Year
2022
Is Sole Proprietor?
No
Enumeration Date
01-10-2023
Last Update Date
01-10-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Anesthetist, Certified Registered

Taxonomy Code
367500000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
11023863
License State
FL
Taxonomy Description
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

Medicare Participation & PECOS Enrollment Status

Jackie Hagenbaumer is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • PECOS PAC ID: 749653962

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20230308001928

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $32.51 for a new patient copayment and $17.51 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 32209 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $130.04
  • Minimum New Patient Price $56
  • Maximum New Patient Price $171.84
  • Average New Patient Copayment $32.51
  • Minimum New Patient Copayment $14
  • Maximum New Patient Copayment $42.96

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $70.04
  • Minimum Established Patient Price $17.57
  • Maximum Established Patient Price $139.16
  • Average Established Patient Copayment $17.51
  • Minimum Established Patient Copayment $4.39
  • Maximum Established Patient Copayment $34.79

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Jackie Hagenbaumer is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
SHANDS JACKSONVILLE655 W 8TH ST
JACKSONVILLE, FL 32209
(904) 244-4000Acute Care Hospitals

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1710691274, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
1
Doubled → 2
Pos 4
0
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
9
Unchanged
Pos 7
1
Doubled → 2
Pos 8
2
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 6 → 12 → 3 1 → 2 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 2 + 0 + 1 + 2 + 9 + 2 + 2 + 1 + 4 + 24 = 56

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1710691274.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Internal Medicine (Rheumatology)
655 W 8TH ST, UFJP RHEUMATOLOGY DEPT.
JACKSONVILLE, FL 32209
Emergency Medicine
655 W 8TH ST, UFJP EMERGENCY MEDICINE
JACKSONVILLE, FL 32209
Obstetrics & Gynecology (Gynecologic Oncology)
655 W 8TH ST, UNIVERSITY OF FLORIDA CENTER FOR WOMEN
JACKSONVILLE, FL 32209
Anesthesiology
655 W 8TH ST, UFJP ANESTHESIA DEPT.
JACKSONVILLE, FL 32209
Orthopaedic Surgery
655 W 8TH ST, UFJP ORTHOPEDICS
JACKSONVILLE, FL 32209
Anesthesiology
655 W 8TH ST, UFJP ANESTHESIA
JACKSONVILLE, FL 32209
Surgery
655 W 8TH ST
JACKSONVILLE, FL 32209
Family Medicine
655 W 8TH ST, UFJP CHFM - 4TH FLOOR ACC
JACKSONVILLE, FL 32209
Radiology (Diagnostic Radiology)
655 W 8TH ST, UFJP RADIOLOGY DEPT.
JACKSONVILLE, FL 32209
Pharmacist (Pharmacotherapy)
655 W 8TH ST
JACKSONVILLE, FL 32209
Nurse Anesthetist, Certified Registered
655 W 8TH ST, UFJAX - ANESTHESIOLOGY DEPT
JACKSONVILLE, FL 32209
Pathology (Anatomic Pathology & Clinical Pathology)
655 W 8TH ST, UFJP PATHOLOGY
JACKSONVILLE, FL 32209
Emergency Medicine
655 W 8TH ST, UFJP EMERGENCY MEDICINE
JACKSONVILLE, FL 32209
Emergency Medicine
655 W 8TH ST, UFJP EMERGENCY MEDICINE
JACKSONVILLE, FL 32209
Pediatrics
655 W 8TH ST, UFJP PEDIATRIC DEPT.
JACKSONVILLE, FL 32209
Podiatrist (Foot & Ankle Surgery)
655 W 8TH ST
JACKSONVILLE, FL 32209
Emergency Medicine
655 W 8TH ST, UFJP EMERGENCY MEDICINE
JACKSONVILLE, FL 32209
Emergency Medicine
655 W 8TH ST, UFJP EMERGENCY MEDICINE
JACKSONVILLE, FL 32209
Emergency Medicine
655 W 8TH ST, UFJP EMERGENCY MEDICINE
JACKSONVILLE, FL 32209
Emergency Medicine
655 W 8TH ST, UFJP EMERGENCY MEDICINE
JACKSONVILLE, FL 32209

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710691274, enumerated as an "individual" on January 10, 2023.

The provider is located at 655 W 8TH ST JACKSONVILLE, FL 32209 and the phone number is (904) 244-0411.

Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Jackie Hagenbaumer is affiliated with: SHANDS JACKSONVILLE.