Seth Christopher Jacob-Wagner, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F343222-1 Issued in NY

Practice address

114 University Ave
Rochester, NY 14605-2992

Phone

(585) 546-2271

NPI assigned

Sep 6, 2018

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Seth Wagner Former name

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Planned Parenthood of Central and Western New York IncGroup PAC ID 6406848647, 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: seth.jacobwagnernp.p4@direct.usppny.nextgenshare.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Planned Parenthood of Central and Western New York, Inc

  • Ambulatory Family Planning Facility
  • Rochester, NY
  • NPI 1306909957

  NY, Single Specialty

  Medicare reassignment Care Compare group NPD
• Planned Parenthood of the Rochester/Syracuse Region

  • Ambulatory Family Planning Facility
  • Rochester, NY
  • NPI 1669568937

  Single Specialty

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1536192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674777600000",
    "number": "1003398959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "343 HOYT ST UPPR",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142131246",
            "telephone_number": "716-480-1596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 UNIVERSITY AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146052992",
            "telephone_number": "585-546-2271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOB-WAGNER",
        "first_name": "SETH",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-09-06",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F343222-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SETH",
            "last_name": "WAGNER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tracey Monique Jackson, RN
• Vanessa Jackson, LPN
• William L Jackson, P.T.
• Jacksons Health Family Health NP
• Jacksons Transportaion Service
• Tom Jacob, DO
• Andree Jacobs-Perkins, M.D.
• Carolyn Yvette Jacobs, MD
• Diane Catherine Jacobs, PHD
• Elisa Ann Jacobs, OTR/L

• All providers in Rochester, NY
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.