JASON R HAGERTY (NP-C) – Family Nurse Practitioner, NPI 1073928537
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for JASON R HAGERTY (NP-C)
10051 5TH ST N STE 200
ST PETERSBURG, FL 337022211
Phone: (727) 824-0780
Fax: (727) 568-6011
Type: Mailing
2424 MANATEE AVE W STE 100
BRADENTON, FL 342054954
Phone: (941) 847-7920
Fax: (941) 757-2291
Type: Location
5130 SUNFOREST DR STE 300
TAMPA, FL 336346327
Phone: (727) 824-0780
Fax: (727) 568-6011
Type: Mailing
1120 10TH ST E
PALMETTO, FL 342214134
Phone: (941) 847-7903
Fax: (941) 847-7919
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2015-01-22
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20150122000123 | I | Nurse Practitioner | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 46 | 21 | $0 |
| G0444 | Annual depression screening, 5 to 15 minutes | 17 | 17 | $0 |
Insurance plans in this area (ZIP 33702)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NURSE PRACTITIONER | FL | 90670 | Pneumococcal vaccine for injection into muscle | 17 | 17 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | FL | |
| Internal Medicine | FL | |
| - | FL | |
| Internal Medicine | FL | |
| - | FL | |
| - | FL | |
| - | FL | |
| Physician Assistant | FL | |
| Nurse Practitioner | FL | |
| - | FL |
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