Individual provider Active NPI

Wendy Leigh Jaget, NP

  • Nurse Practitioner
  • Cary, NC
National Provider Identifier
1104278803
Registry record updated Apr 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5008671 Issued in NC
Practice address
200 Wellesley Trade LN
Cary, NC 27519-5576
Phone
(919) 363-7546
Fax
(919) 363-3616
NPI assigned
Jul 6, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5008671 NC Primary

Addresses

Primary practice location

200 Wellesley Trade LN
Cary, NC 27519-5576

Mailing address

200 Wellesley Trade LN
Cary, NC 27519-5576
Phone (919) 363-7546

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address wjaget@directaddress.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20160805000031 NC Practitioner - Nurse Practitioner 4486948049 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cary Skin Center PAGroup PAC ID 1153418371, 10 clinicians

Practice addresses (Care Compare)

200 Wellesley Trade LN
Cary, NC 27519-5576
Phone (919) 363-7546

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5008671NCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cary Skin Center, PA CurrentSince Jul 6, 2016 Accepting new patients
Pih Health Physicians PastSince Jul 6, 2016 Accepting new patients

Locations

200 Wellesley Trade Ln
Cary, NC 27519
Phone (919) 363-7546

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1467763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588032000000",
    "number": "1104278803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 WELLESLEY TRADE LN",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275195576",
            "telephone_number": "919-363-7546",
            "fax_number": "919-363-3616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 WELLESLEY TRADE LN",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275195576",
            "telephone_number": "919-363-7546",
            "fax_number": "919-363-3616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAGET",
        "first_name": "WENDY",
        "middle_name": "LEIGH",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-06",
        "last_updated": "2020-04-28",
        "certification_date": "2020-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5008671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wjaget@directaddress.net",
            "affiliation": "N",
            "address_1": "200 Wellesley Trade Ln",
            "city": "Cary",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275195576",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

Verify at the official NPI Registry.