Mrs Keri Jean Wagner, NP - Medicare Nurse Practitioner in Commack, NY

Mrs Keri Jean Wagner, NP is a medicare enrolled "Nurse Practitioner - Family" in Commack, New York. She graduated from nursing school in 2005 and has 19 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Mskcc Regional Network and her current practice location is 650 Commack Rd, Commack, New York. You can reach out to her office (for appointments etc.) via phone at (631) 623-4000.

Mrs Keri Jean Wagner is licensed to practice in New York (license number F334793) 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 1053433474.

Contact Information

Mrs Keri Jean Wagner, NP
650 Commack Rd,
Commack, NY 11725-5404
(631) 623-4000
(631) 864-2787

Map and Direction




Provider's Profile

Full NameMrs Keri Jean Wagner
GenderFemale
SpecialityNurse Practitioner
Experience19 Years
Location650 Commack Rd, Commack, New York
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mrs Keri Jean Wagner graduated from nursing school in 2005
  NPI Data:
  • NPI Number: 1053433474
  • Provider Enumeration Date: 04/05/2007
  • Last Update Date: 05/13/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 1557545639
  • Enrollment ID: I20110414000302

Medical Identifiers

Medical identifiers for Mrs Keri Jean Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053433474NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family F334793 (New York)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mskcc Regional Network660876514476

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Keri Jean Wagner allows following entities to bill medicare on her behalf.
Entity NameMskcc Regional Network
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740251297
PECOS PAC ID: 6608765144
Enrollment ID: O20040312000936

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. Mrs Keri Jean 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 AddressPractice Location Address
Mrs Keri Jean Wagner, NP
650 Commack Rd,
Commack, NY 11725-5404

Ph: (631) 623-4000
Mrs Keri Jean Wagner, NP
650 Commack Rd,
Commack, NY 11725-5404

Ph: (631) 623-4000

Reviews and Comments


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Sandra M Roth, ANP-C
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Phone: 631-715-2000    
Ms. Kathleen Bradley Kupferman, N.P.
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Mrs. Lauren Dolce, NP-C
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Medicare: Medicare Enrolled
Practice Location: 6080 Jericho Tpke, Suite 314, Commack, NY 11725
Phone: 631-462-2200    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.