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MS. JUDITH MARY WAGONER NP
NPI 1831468719
Nurse Practitioner - Family in Fort Myers, FL

Active since December 21, 2011PECOS Enrolled
9131 COLLEGE POINTE CT, FORT MYERS, FL 33919(239) 343-9100(239) 343-9108 Get Directions Write a Review

NPPES record last updated: March 30, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 30, 2021, Oct 27, 2020, Apr 7, 2020 and 1 more (4 updates tracked since 2016).

About Ms. Judith Mary Wagoner Np NPPES

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

MS. JUDITH MARY WAGONER NP (NPI 1831468719) is an individual family provider in Fort Myers, Florida, licensed in Florida (ARNP9360341) and active in the NPI registry since December 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1831468719
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. JUDITH MARY WAGONERCredential: NP
Location Address9131 COLLEGE POINTE CTFort Myers, FL 33919-3245
Mailing AddressPo Box 2147Fort Myers, FL 33902-2147 · (239) 343-3174 · Fax (239) 343-3495
Phone(239) 343-9100
Fax(239) 343-9108
Sole ProprietorNo
Enumeration DateDecember 21, 2011
Last NPPES UpdateMarch 30, 20214 updates tracked since enumeration
NPPES CertifiedMarch 30, 2021
✔ NPI 1831468719 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 FL · ARNP9360341
9131 COLLEGE POINTE CT, Fort Myers, FL 33919
Open in Google Maps ↗

Other Identifiers 1

Medicaid008914000FL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Judith Mary Wagoner Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

2

Medicare enrollment records show Judith Wagoner reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lee Health System Inc
3.5 mi
Internal Medicine
9981 S HEALTHPARK DR
Fort Myers, FL 33908
  • Reassigned Medicare billing, Florida enrollment
  • 1,899 clinicians in this Medicare group
NPI 1942058557 (239) 424-1500
Lee Memorial Health System
3.5 mi
Internal Medicine
9981 S HEALTHPARK DR
Fort Myers, FL 33908
  • Reassigned Medicare billing, Florida enrollment
  • 1,345 clinicians in this Medicare group
NPI 1992873319 (239) 424-1500

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33919 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
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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 20

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

JUAN CARLOS SEQUEIRA GROSS MD
Internal Medicine
9131 COLLEGE POINTE CT
FORT MYERS, FL 33919
Lee County (239) 343-9100
DARREN R JACOBS D.O.
Family Medicine
9131 COLLEGE POINTE CT
FT MYERS, FL 33919
Lee County (239) 432-0101
DR. JOHN SCHMIDT DO
Family Medicine
9131 COLLEGE POINTE CT
FORT MYERS, FL 33919
Lee County (239) 343-9100
JUAN CARLOS FERNANDEZ MD
Family Medicine
9131 COLLEGE POINTE CT
FORT MYERS, FL 33919
Lee County (239) 343-9100
ETHAN RAMIREZ
Student in an Organized Health Care Education/Training Program
9131 COLLEGE POINTE CT
FORT MYERS, FL 33919
Lee County (239) 343-9100
NICOLE R BRYANT PA-C
Physician Assistant
9131 COLLEGE POINTE CT
FORT MYERS, FL 33919
Lee County (239) 343-9100
STACY ELIZABETH STEPHEN MD
Family Medicine
9131 COLLEGE POINTE CT
FORT MYERS, FL 33919
Lee County (239) 343-9100
MELANIE HOTTEL DNP, FNP-C
Nurse Practitioner (Family)
9131 COLLEGE POINTE CT
FORT MYERS, FL 33919
Lee County (239) 343-9100

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 Judith Wagoner's NPI number?

The NPI number for Judith Wagoner is 1831468719. It was assigned to this individual provider in the NPPES registry on December 21, 2011.

Where is Judith Wagoner located?

Judith Wagoner practices at 9131 College Pointe Ct, Fort Myers, FL 33919. The listed phone number is (239) 343-9100.

What is Judith Wagoner's specialty?

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

Is Judith Wagoner enrolled in Medicare?

Yes. Judith Wagoner is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Judith Wagoner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Judith Wagoner reassigns Medicare benefits to 2 organizations: Lee Health System Inc (Fort Myers, FL) and Lee Memorial Health System (Fort Myers, FL). Each 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 Judith Wagoner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Judith Wagoner was last updated on March 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.