Jaclyn Anne Wagner, FNP is a medicare enrolled "Nurse Practitioner - Family" physician in Gainesville, Florida. Her current practice location is
1600 Sw Archer Rd, Gainesville, Florida. You can reach out to her office (for appointments etc.) via phone at
(352) 392-4541.
Jaclyn Anne Wagner is licensed to practice in Florida (license number APRN11020833) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1720372964.
Physician's Profile
Full Name | Jaclyn Anne Wagner |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 1600 Sw Archer Rd, Gainesville, Florida |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Jaclyn Anne Wagner attended and graduated from in
NPI Data:
- NPI Number: 1720372964
- Provider Enumeration Date: 06/06/2011
- Last Update Date: 05/07/2025
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Jaclyn Anne Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1720372964 | NPI | - | NPPES |
126442300 | Medicaid | FL | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | APRN11020833 (Florida) | Secondary |
363LF0000X | Nurse Practitioner - Family | APRN11020833 (Florida) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jaclyn Anne Wagner is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jaclyn Anne Wagner, FNP Po Box 740861, Atlanta, GA 30374-0861 Ph: (904) 819-4539 | Jaclyn Anne Wagner, FNP 1600 Sw Archer Rd, Gainesville, FL 32610-5776 Ph: (352) 392-4541 |
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