MS. JEANNE ANN JAGODZINSKI (PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1124320734
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MS. JEANNE ANN JAGODZINSKI (PMHNP-BC)
3763 EVANS AVE
FORT MYERS, FL 339019302
Phone: (239) 275-3222
Type: Mailing
2789 ORTIZ AVE
FORT MYERS, FL 339057806
Phone: (239) 275-3222
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 79 Open Payments records for all available years, with a total value of $1,413.
Total Amount is formed as General ($1,413) + Research ($0) + Ownership ($0) = $1,413.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Teva Pharmaceuticals USA, Inc. ($405).
Total Amount
$1,413
General + Research + Ownership
Payments
79
Total payment records
General Amount
$1,413
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Teva Pharmaceuticals USA, Inc. | $405 |
| Janssen Pharmaceuticals, Inc | $213 |
| ITI, Inc. | $143 |
| Alkermes, Inc. | $123 |
| Otsuka America Pharmaceutical, Inc. | $105 |
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: 2018-02-07
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 |
|---|---|---|---|---|
| I20180207002974 | 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 | 271 | 102 | $0 |
| 99211 | Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional | 88 | 12 | $0 |
Insurance plans in this area (ZIP 33901)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NURSE PRACTITIONER | OH | 90792 | Psychiatric diagnostic evaluation with medical services | 14 | 14 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| Mental Health Counselor | FL | |
| - | ME | |
| - | FL | |
| - | FL | |
| Mental Health Counselor | FL | |
| - | FL | |
| Nurse Practitioner | FL |
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