JENNIFER WAGNER (APRN) – Family Nurse Practitioner, NPI 1083387757
Family Nurse Practitioner
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
3,550 NURSE PRACTITIONER in KS
Provider Addresses for JENNIFER WAGNER (APRN)
1947 N FOUNDERS CIR
WICHITA, KS 672063548
Phone: (316) 613-4640
Fax: (316) 613-4704
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 3 Open Payments records for all available years, with a total value of $56.
Total Amount is formed as General ($56) + Research ($0) + Ownership ($0) = $56.
Last reported payment date: 2023-11-30 • Largest payer in this snapshot: Organon LLC ($26).
Total Amount
$56
General + Research + Ownership
Payments
3
Total payment records
General Amount
$56
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-11-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Organon LLC | $26 |
| PFIZER INC. | $17 |
| Sumitomo Pharma America, Inc. | $13 |
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: 2021-08-31
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 |
|---|---|---|---|---|
| I20210831003572 | I | Nurse Practitioner | KS | 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 |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 82 | 12 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 32 | 28 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 25 | 20 | $0 |
| 99211 | Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional | 22 | 20 | $0 |
| 73110 | X-ray of wrist, minimum of 3 views | 16 | 15 | $0 |
Insurance plans in this area (ZIP 67206)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | KS | |
| Nurse Practitioner | KS | |
| Family Practice | KS | |
| Nurse Practitioner | KS | |
| - | KS | |
| - | KS | |
| - | KS | |
| Family Practice | KS | |
| - | KS | |
| P S Y C H I A T R Y | KS |
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