JACLYN ANNE WAGNER FNP
NPI 1720372964
Nurse Practitioner in Gainesville, FL

Q: What is Jaclyn Wagner's NPI number?

The NPI number for Jaclyn Wagner is 1720372964. It was assigned to this individual provider in the NPPES registry on June 6, 2011.

Q: What is Jaclyn Wagner's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Jaclyn Wagner was last updated on September 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since June 06, 2011PECOS EnrolledAccepts Medicare Assignment

90.01/100

CMS Quality Rating

1600 SW ARCHER RD, GAINESVILLE, FL 32610(352) 392-4541 Get Directions Write a Review

NPPES record last updated: September 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 3, 2025, May 7, 2025, Nov 4, 2024 (3 updates tracked since 2024).

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About Jaclyn Anne Wagner Fnp NPPES

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

JACLYN ANNE WAGNER FNP (NPI 1720372964) is an individual nurse practitioner in Gainesville, Florida, licensed in Florida (APRN11020833) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1720372964

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameJACLYN ANNE WAGNERCredential: FNP

Location Address1600 SW ARCHER RDGainesville, FL 32610-5776

Mailing AddressPo Box 740861Atlanta, GA 30374-0861 · (904) 819-4539 · Fax (904) 819-4906

Phone(352) 392-4541

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateJune 6, 2011

Last NPPES UpdateSeptember 3, 20253 updates tracked since enumeration

NPPES CertifiedSeptember 3, 2025

✔ NPI 1720372964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in FL · APRN11020833

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedFamily MedicineTaxonomy 207Q00000X · License APRN11020833 (FL)

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License APRN11020833 (FL)

1600 SW ARCHER RD, Gainesville, FL 32610

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Secondary Practice Locations 2

Location 1110 Health Park BlvdSaint Augustine, FL 32086-5776 · Phone (904) 823-3401 · Fax (904) 829-8649

Location 21255 Highway 54 WFayetteville, GA 30214-4526 · Phone (770) 719-7911

Other Identifiers 1

Medicaid126442300FL

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

Jaclyn Anne Wagner Fnp 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 ID4880862630

PECOS Enrollment IDI20230918003983

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 12

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 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.

409 services328 patients

Injection, dexamethasone sodium phosphate, 1 mg J1100

Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.

114 services12 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

100 services63 patients

Injection, ketorolac tromethamine, per 15 mg J1885

Ketorolac tromethamine is a medication administered through injection, often used to manage moderate to severe pain. Each 15 mg dose helps to reduce hormones causing inflammation and pain in the body. It is not recommended for long-term use.

100 services25 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

99 services99 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

61 services55 patients

Injection, ceftriaxone sodium, per 250 mg J0696

Ceftriaxone sodium is an antibiotic injection used to treat a variety of bacterial infections. Each injection contains 250 mg of the medicine. It works by stopping the growth of bacteria in your body.

56 services13 patients

X-ray of chest, 2 views 71046

A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.

52 services48 patients

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.

47 services43 patients

Detection test by immunoassay with direct visual observation for influenza virus 87804

This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.

21 services12 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.

17 services17 patients

Inhalation treatment for airway obstruction or sputum production 94640

Inhalation treatment, also known as nebulizer therapy, helps clear airway obstructions and reduce sputum production. It involves breathing in medication through a device, turning it into a mist. This can open up the airways, making breathing easier and helping to cough out mucus.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32610 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

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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.

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.

90.01/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

100

Improvement Activities

Cost

66.71

Other Providers at the Same Location NPPES 20

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

DR. BAHAREH EBADIFAR KEITH DO

Pediatrics

1600 SW ARCHER RD
GAINESVILLE, FL 32610

Alachua County (352) 273-0462

AFRASYAB KHAN

Surgery

1600 SW ARCHER RD
GAINESVILLE, FL 32610

Alachua County (352) 265-0680

GULSUN ERDAG MD

Pathology (Anatomic Pathology & Clinical Pathology)

1600 SW ARCHER RD
GAINESVILLE, FL 32610

Alachua County (352) 265-9900

DR. ALBERT H. MATTIA D.D.S.

Dentist (Prosthodontics)

1600 SW ARCHER RD, D4-4
GAINESVILLE, FL 32610

Alachua County (352) 273-5801

JOANNA CHAFFIN

Pathology (Anatomic Pathology & Clinical Pathology)

1600 SW ARCHER RD
GAINESVILLE, FL 32610

Alachua County (352) 627-9272

DR. CASEY JUSTIN BEAL MD

Ophthalmology

1600 SW ARCHER RD, BOX 100284
GAINESVILLE, FL 32610

Alachua County (352) 273-8778

WILLIAM CRAIG HICKS CRNA

Nurse Anesthetist, Certified Registered

1600 SW ARCHER RD
GAINESVILLE, FL 32610

Alachua County (352) 273-6438

HENRY FONTILLAS PATALINGHUG CRNA

Nurse Anesthetist, Certified Registered

1600 SW ARCHER RD
GAINESVILLE, FL 32610

Alachua County (352) 273-6438

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 Jaclyn Wagner's NPI number?

The NPI number for Jaclyn Wagner is 1720372964. It was assigned to this individual provider in the NPPES registry on June 6, 2011.

Where is Jaclyn Wagner located?

Jaclyn Wagner practices at 1600 SW Archer Rd, Gainesville, FL 32610. The listed phone number is (352) 392-4541.

What is Jaclyn Wagner's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Jaclyn Wagner enrolled in Medicare?

Yes. Jaclyn 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 Jaclyn Wagner was last updated on September 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.