Active NPI 1720372964 Individual Practitioner Female Practitioner

Jaclyn Anne Wagner , FNP

Nurse Practitioner • Gainesville, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Jaclyn Wagner, FNP is a certified Nurse Practitioner practicing in Gainesville, FL. With approximately 16 years of clinical experience since completing medical education in 2010, Jaclyn Wagner delivers high-quality medical care to the local community at 1600 SW ARCHER RD.

Jaclyn Wagner is affiliated with Villages Regional Hospital Physician Services Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, methylprednisolone acetate, 1 mg, established patient outpatient office visit, injection, dexamethasone sodium phosphate, 1 mg. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1600 Sw Archer Rd

Gainesville, FL 326105776

Telephone 3523924541

Associated Practice Facility / Clinic

🏢 Faculty Associates, Inc Facility NPI 1659322014

Medicare Profile & Education

Medical School

Other

Graduation Year

2010

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Gainesville, FL

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

16 Yrs +6.8 yrs vs City Avg

City Avg: 9.2 Yrs

State Avg: 10.0 Yrs

Regional Practice Density

325 Specialists

Practicing in Gainesville, FL (8990 Statewide)

Telehealth Adoption Rate

9.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

60.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wagner (16 Years) 16 Yrs

Gainesville Specialty Average (9.2 Years) 9.2 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1010 Injection, methylprednisolone acetate, 1 mg	845	21	$6.32	$0.13
99213 Established patient office or other outpatient visit, typically 15 minutes	409	328	$148.66	$77.09
J1100 Injection, dexamethasone sodium phosphate, 1 mg	114	12	$32.81	$0.11
J1885 Injection, ketorolac tromethamine, per 15 mg	100	25	$19.84	$0.70
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	100	63	$30.24	$12.34
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	99	99	$210.00	$96.57
81003 Automated urinalysis test	61	55	$18.85	$2.20
J0696 Injection, ceftriaxone sodium, per 250 mg	56	13	$32.14	$0.45
71046 X-ray of chest, 2 views	52	48	$110.38	$27.87
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	47	43	$172.32	$111.69
87804 Detection test by immunoassay with direct visual observation for influenza virus	21	12	$49.43	$16.22
93000 Routine ekg using at least 12 leads including interpretation and report	17	17	$69.88	$12.43
94640 Inhalation treatment for airway obstruction or sputum production	11	11	$24.36	$6.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	38	36	$127.89	$74.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
32555 Aspiration of fluid from chest cavity using imaging guidance	65	59	$409.00	$92.38
49083 Drainage of fluid from abdominal cavity using imaging guidance	58	32	$389.00	$89.70
77002 Fluoroscopic guidance for needle placement	47	45	$89.00	$23.26
38222 Biopsy and aspiration of bone marrow sample for diagnosis	26	25	$300.00	$62.26
10005 Fine needle aspiration of first lesion using ultrasound guidance	24	23	$297.00	$62.23
36573 Insertion of tube for infusion with imaging guidance and review by radiologist, patient 5 years or older	22	21	$347.00	$70.34
20610 Aspiration and/or injection of fluid from large joint	22	21	$239.41	$39.35
76937 Ultrasonic guidance for blood vessel access	16	16	$54.00	$11.71
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	16	16	$131.00	$26.06
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	16	16	$446.00	$72.05
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	14	14	$70.00	$15.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
32555 Aspiration of fluid from chest cavity using imaging guidance	59	51	$409.00	$95.28
49083 Drainage of fluid from abdominal cavity using imaging guidance	54	35	$389.00	$90.02
77002 Fluoroscopic guidance for needle placement	37	35	$89.00	$23.63
36573 Insertion of tube for infusion with imaging guidance and review by radiologist, patient 5 years or older	26	26	$347.00	$71.48
20610 Aspiration and/or injection of fluid from large joint	19	18	$253.11	$41.73
10005 Fine needle aspiration of first lesion using ultrasound guidance	19	19	$297.00	$62.47
38222 Biopsy and aspiration of bone marrow sample for diagnosis	15	14	$300.00	$66.72
76937 Ultrasonic guidance for blood vessel access	14	14	$54.00	$11.85
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	14	14	$446.00	$72.64
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	13	13	$131.00	$26.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
49083 Drainage of fluid from abdominal cavity using imaging guidance	67	44	$389.00	$93.30
32555 Aspiration of fluid from chest cavity using imaging guidance	54	35	$409.00	$98.35
77002 Fluoroscopic guidance for needle placement	36	34	$89.00	$24.25
10005 Fine needle aspiration of first lesion using ultrasound guidance	25	24	$297.00	$63.57
38222 Biopsy and aspiration of bone marrow sample for diagnosis	22	22	$300.00	$68.91
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	22	21	$131.00	$27.63
20610 Aspiration and/or injection of fluid from large joint	19	17	$265.16	$43.44
36573 Insertion of tube for infusion with imaging guidance and review by radiologist, patient 5 years or older	18	18	$347.00	$74.44
62328 Removal of spinal fluid with lower back spinal tap for diagnostic test using imaging guidance	16	16	$364.00	$79.45
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	16	15	$446.00	$75.69
76937 Ultrasonic guidance for blood vessel access	16	15	$54.00	$12.62
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	12	11	$70.00	$16.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
32555 Aspiration of fluid from chest cavity using imaging guidance	68	54	$409.00	$97.92
49083 Drainage of fluid from abdominal cavity using imaging guidance	53	37	$389.00	$91.46
77002 Fluoroscopic guidance for needle placement	37	36	$89.00	$24.18
20610 Aspiration and/or injection of fluid from large joint	28	27	$229.00	$40.58
77003 Fluoroscopic guidance for spine or back muscle injection	24	23	$104.00	$26.12
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	23	23	$131.00	$27.74
36573 Insertion of tube for infusion with imaging guidance and review by radiologist, patient 5 years or older	23	23	$347.00	$72.58
10005 Fine needle aspiration of first lesion using ultrasound guidance	22	22	$297.00	$64.14
38222 Biopsy and aspiration of bone marrow sample for diagnosis	20	20	$300.00	$68.39
62270 Spinal tap for diagnosis	16	16	$290.00	$68.09
77012 Review by radiologist of ct guidance for needle placement	15	15	$200.00	$64.11
38505 Needle biopsy or removal of surface lymph nodes	12	12	$434.00	$59.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
49083 Drainage of fluid from abdominal cavity using imaging guidance	80	38	$389.00	$92.87
32555 Aspiration of fluid from chest cavity using imaging guidance	63	57	$409.00	$96.45
76937 Ultrasonic guidance for blood vessel access	50	50	$54.00	$12.17
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	47	47	$70.01	$15.70
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	45	44	$131.00	$27.57
77002 Fluoroscopic guidance for needle placement	37	35	$89.00	$24.10
36569 Insertion of central venous catheter for infusion, patient 5 years or older	33	33	$335.00	$72.48
77003 Fluoroscopic guidance for spine or back muscle injection	32	32	$104.00	$25.41
20610 Aspiration and/or injection of fluid from large joint	31	29	$229.00	$40.25
10022 Fine needle aspiration using imaging guidance	30	24	$216.00	$56.42
77012 Review by radiologist of ct guidance for needle placement	26	26	$200.00	$48.99
38222 Biopsy and aspiration of bone marrow sample for diagnosis	26	26	$300.00	$67.24
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	17	17	$446.00	$84.27
62284 Injection of contrast for imaging of lower spinal canal	17	16	$444.00	$73.92
62270 Spinal tap for diagnosis	16	16	$290.00	$67.08
36589 Removal of central venous catheter for infusion	15	15	$510.00	$118.25
38505 Needle biopsy or removal of surface lymph nodes	11	11	$434.00	$61.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
49083 Drainage of fluid from abdominal cavity using imaging guidance	25	15	$389.00	$93.67
32555 Aspiration of fluid from chest cavity using imaging guidance	17	17	$409.00	$96.46
76937 Ultrasonic guidance for blood vessel access	13	13	$54.00	$12.16

Medical Specialties & State Licenses

CMS Verified: 2025-09-03

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License FL APRN11020833

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License FL APRN11020833

Definition to come...

Family Medicine

NUCC Taxonomy Code: 207Q00000X

State License FL APRN11020833

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

126442300 (FL)

Hospital & Practice Group Affiliations

Villages Regional Hospital Physician Services Llc

70 Turin Ter, Saint Augustine, FL 320920849

Phone: 9048191200

Villages Regional Hospital Physician Services Llc

110 Health Park Blvd, Saint Augustine, FL 320865776

Phone: 9048233401

Villages Regional Hospital Physician Services Llc

70 Turin Ter, St Augustine, FL 320920849

Phone: 9048193222

Villages Regional Hospital Physician Services Llc

10435 Se 170th Pl, Summerfield, FL 344918998

Phone: 3522553615

Secondary Practice Locations

110 Health Park Blvd

Saint Augustine, FL 320865776

Phone: 9048233401

1255 Highway 54 W

Fayetteville, GA 302144526

Phone: 7707197911

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Christina Bricker , APRN

Nurse Practitioner

NPI 1023222668

Advanced Practice Registered Nurse

Barbara Durden

Family Medicine

NPI 1023768173

Kimberly Gonzalez , FNP

Nurse Practitioner

NPI 1023827136

Family Nurse Practitioner

Glenn Molloy , ARNP

Nurse Practitioner

NPI 1033133780

Advanced Registered Nurse Practitioner

Dr. Taylor Bellfield , DNP, APRN, PMHNP-BC

Nurse Practitioner - Psychiatric/Mental Health

NPI 1033853460

Doctor of Nursing Practice, Advanced Practice Registered Nurse, Psychiatric-Mental Health Nurse Practitioner (Board Certified)

Thomas Ward , LCSW

Social Worker

NPI 1063774560

Licensed Clinical Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 03, 2025

Nurse Practitioner (License #APRN11020833 in FL)

📍

Updated Practice Location May 07, 2025

Registered at 1600 SW ARCHER RD, GAINESVILLE, FL 326105776 (Tel: 3523924541)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 07, 2025

Family Medicine (License #APRN11020833 in FL)

📍

Updated Practice Location November 04, 2024

Registered at 110 HEALTH PARK BLVD, SAINT AUGUSTINE, FL 320865776 (Tel: 9048233401)

📍

Updated Business Mailing Address November 04, 2024

Registered at PO BOX 740861, ATLANTA, GA 303740861 (Tel: 9048194539)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 04, 2024

Nurse Practitioner (License #APRN11020833 in FL)

✅

NPI Profile Active June 06, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location June 06, 2011

Registered at 1255 HIGHWAY 54 W, FAYETTEVILLE, GA 302144526 (Tel: 7707197911)

📍

Updated Business Mailing Address June 06, 2011

Registered at 165 WOODBRIDGE PL, BROOKS, GA 302051546 (Tel: 9048646568)

👤

Provider Name / Credentials Updated June 06, 2011

Recorded as JACLYN WAGNER, FNP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 06, 2011

Nurse Practitioner (License #RN206617 in GA)

🟢

Initial NPI Registration & Enumeration June 06, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1720372964

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 06, 2011

Last Update: September 03, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 740861

Atlanta, GA 303740861

Phone: 9048194539

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.