Active NPI 1063885556 Individual Practitioner Female Practitioner

Jenny Wagner

Nurse Practitioner • Peoria, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Jenny Wagner is a certified Nurse Practitioner practicing in Peoria, IL. With approximately 12 years of clinical experience since completing medical education in 2014, Jenny Wagner delivers high-quality medical care to the local community at 100 NE RANDOLPH AVE.

Jenny Wagner is affiliated with Osf Multi-Specialty Group and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service;. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

100 Ne Randolph Ave

Peoria, IL 616061919

Telephone 3096248500

Fax 3096248552

Associated Practice Facility / Clinic

🏢 Illinois Neuroscience Institute Facility NPI 1326485921

Medicare Profile & Education

Medical School

Other

Graduation Year

2014

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Peoria, IL

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

12 Yrs +1.9 yrs vs City Avg

City Avg: 10.1 Yrs

State Avg: 10.4 Yrs

Regional Practice Density

182 Specialists

Practicing in Peoria, IL (4929 Statewide)

Telehealth Adoption Rate

29.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

66.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wagner (12 Years) 12 Yrs

Peoria Specialty Average (10.1 Years) 10.1 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
99213 Established patient office or other outpatient visit, typically 15 minutes	86	71	$207.72	$73.79
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	58	43	$412.55	$147.10
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	55	46	$294.00	$104.29
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	34	34	$558.94	$180.61
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or	17	17	$117.00	$26.62
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$424.00	$136.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	102	79	$282.00	$102.49
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	58	49	$400.00	$146.80
99213 Established patient office or other outpatient visit, typically 15 minutes	52	50	$200.00	$73.11
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	49	49	$542.00	$180.79
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or	29	17	$111.00	$26.50
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$410.00	$137.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	115	90	$269.48	$102.83
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	82	69	$374.39	$148.31
99213 Established patient office or other outpatient visit, typically 15 minutes	31	30	$194.68	$72.86
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	30	30	$530.80	$178.44
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or	21	15	$90.33	$27.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	138	110	$266.00	$107.84
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	124	101	$369.13	$146.07
99443 Telephone medical discussion with physician, 21-30 minutes	19	19	$175.00	$108.19
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	17	17	$506.24	$176.11
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$386.46	$140.36
99213 Established patient office or other outpatient visit, typically 15 minutes	11	11	$172.64	$75.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	232	165	$252.88	$90.54
99442 Telephone medical discussion with physician, 11-20 minutes	40	39	$126.00	$60.88
99443 Telephone medical discussion with physician, 21-30 minutes	38	37	$176.32	$90.73
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$381.00	$138.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	275	175	$242.05	$88.80
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$368.73	$136.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	237	136	$235.22	$88.71
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$362.83	$136.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	216	130	$228.39	$87.58
99213 Established patient office or other outpatient visit, typically 15 minutes	26	26	$146.23	$58.26

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License IL 209.013545

(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.

Hospital & Practice Group Affiliations

Osf Multi-Specialty Group

200 E Pennsylvania Ave, Peoria, IL 616033089

Phone: 3096244000

Practice Associates & Co-Workers

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

11 Associated Practitioners

Maria Karbowska-Jankowska

Physical Medicine & Rehabilitation

NPI 1184722647

Metyl Ginoli , NP

Nurse Practitioner

NPI 1225062573

Nurse Practitioner

Gregory Blume

Psychiatry & Neurology - Neurology

NPI 1326146994

Dennis Garwacki

Psychiatry & Neurology - Neurology

NPI 1417055922

Sarah Zallek

Psychiatry & Neurology - Neurology

NPI 1467543942

Christopher Zallek

Psychiatry & Neurology - Neurology

NPI 1548368822

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active November 05, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location November 05, 2015

Registered at 100 NE RANDOLPH AVE, PEORIA, IL 616061919 (Tel: 3096248500)

📍

Updated Business Mailing Address November 05, 2015

Registered at 100 NE RANDOLPH AVE, PEORIA, IL 616061919 (Tel: 3096248500)

👤

Provider Name / Credentials Updated November 05, 2015

Recorded as JENNY WAGNER

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 05, 2015

Nurse Practitioner (License #209.013545 in IL)

🟢

Initial NPI Registration & Enumeration November 05, 2015

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: 1063885556

Entity Type:

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

Enumeration Date: November 05, 2015

Last Update: November 05, 2015

Sole Proprietor: No

Update or Correct Profile

Mailing Address

100 Ne Randolph Ave

Peoria, IL 616061919

Phone: 3096248500

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.