JESSICA WAGNER (PA-C) – Physician Assistant, NPI 1649837246
Physician Assistant
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
1,853 PHYSICIAN ASSISTANT in MO
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Provider Addresses for JESSICA WAGNER (PA-C)
219 STILLBROOK ESTATES DR
FENTON, MO 630266505
Phone:
Type: Mailing
1296, Jeffco Boulevard, Arnold, Jefferson County, Missouri, 63010, United States
ARNOLD, MO 630102138
Phone: (636) 321-8610
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: 2019-06-18
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 |
|---|---|---|---|---|
| I20190618000813 | I | Physician Assistant | MO | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 85 | 79 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 34 | 34 | $0 |
Insurance plans in this area (ZIP 63026)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | MO | |
| Nurse Practitioner | MO | |
| - | MO | |
| Family Practice | OK | |
| Family Practice | IL | |
| - | MO | |
| - | MO | |
| - | MO | |
| P S Y C H I A T R Y | MO | |
| - | IL |
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