AMY JAGDMANN – Nurse Practitioner, NPI 1184268856

AMY JAGDMANN is a healthcare provider. based in Melbourne, Florida. specializing in NURSE PRACTITIONER. They hold a License No. APRN11003269 (FL). The NPI Number for AMY JAGDMANN is 1184268856

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
AMY JAGDMANN
NPI
1184268856
Phone
(321) 837-9015
Address
109 SILVER PALM AVE
Enumeration Date
5 November 2019
Last Update Date
5 November 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3217571900
Graduation Year
2019 (7 years ago)
PAC ID
6305224742
Group Practice PAC ID
1153541669
Professional Enrollment ID
I20220526000039
Address ID
FL329406459ME2328XWAYX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:6State licenses:1Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for AMY JAGDMANN

  • 109 SILVER PALM AVE

    MELBOURNE, FL 329013125

    Phone: (321) 837-9015

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $140.

Total Amount is formed as General ($140) + Research ($0) + Ownership ($0) = $140.

Last reported payment date: 2023-09-11 • Largest payer in this snapshot: Bayer Healthcare Pharmaceuticals Inc. ($125).

Total Amount

$140

General + Research + Ownership

Payments

2

Total payment records

General Amount

$140

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-09-11

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2022-05-26

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220526000039INurse PractitionerFLTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes3729$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes2719$0
View full utilization report →

Insurance plans in this area (ZIP 32901)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1153541669View full group profile
NameSpecialtyState
Nurse PractitionerFL
Infectious Disease, Internal MedicineFL

Reviews

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Frequently asked questions

What NPI should I save for AMY JAGDMANN?
Save NPI 1184268856 if you need a stable reference for AMY JAGDMANN.
Is AMY JAGDMANN's NPI currently valid?
The extract we use shows AMY JAGDMANN as active.
What field does AMY JAGDMANN work in?
You can think of AMY JAGDMANN as practicing within Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location metadata exists for AMY JAGDMANN?
The page summarizes Melbourne, Florida for AMY JAGDMANN; expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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