JASON FREDRICK WAGNER (APRN, LMHC, MCAP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1720536691
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
24,232 NURSE PRACTITIONER in FL
Provider Addresses for JASON FREDRICK WAGNER (APRN, LMHC, MCAP)
12521 SW 11TH CT
DAVIE, FL 333255585
Phone: (954) 483-5455
Type: Mailing
6075 BATHEY LN
NAPLES, FL 341167536
Phone: (239) 455-8500
Type: Location
135 WESTON RD # 236
WESTON, FL 333261111
Phone: (954) 483-5455
Type: Mailing
111 W CORAL WAY
HOLLYWOOD, FL 330213860
Phone: (954) 964-6338
Fax: (954) 965-1327
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $753.
Total Amount is formed as General ($753) + Research ($0) + Ownership ($0) = $753.
Last reported payment date: 2024-11-14 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($286).
Total Amount
$753
General + Research + Ownership
Payments
6
Total payment records
General Amount
$753
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-14
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2025-04-21
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20191216001077 | I | Nurse Practitioner | FL | TBD |
| I20250421002841 | I | Nurse Practitioner | TX | 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 |
|---|---|---|---|---|
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 14 | 14 | $0 |
Insurance plans in this area (ZIP 33325)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | FL | |
| Nurse Practitioner | MO | |
| Family Practice, Osteopathic Manipulative Medicine | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| Physician Assistant | WV |
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