Jill Marie Wagemester

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

100303 Issued in IA

Practice address

212 W Dale St Ste 100
Waterloo, IA 50703-1954

Phone

(319) 235-3550

NPI assigned

Sep 14, 2023

Last updated

Sep 14, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2020

Medicare assignment

May accept Medicare assignment

Group practices

Allen Memorial Hospital CorporationGroup PAC ID 4284546045, 149 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Allen Memorial Hospital Corporation

  dba Allen Hospital

  • Women's Health Nurse Practitioner
  • Waterloo, IA
  • NPI 1891772927
  Medicare reassignment Care Compare group NPD (past)

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

{
    "created_epoch": "1694649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694649600000",
    "number": "1376320036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 W DALE ST STE 6B",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507031925",
            "telephone_number": "319-226-2170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 W DALE ST STE 100",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507031954",
            "telephone_number": "319-235-3550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "164 W Dale St",
            "address_purpose": "LOCATION",
            "city": "Waterloo",
            "state": "IA",
            "postal_code": "507031925",
            "country_code": "US",
            "telephone_number": "319-226-2170",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAGEMESTER",
        "first_name": "JILL",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-14",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "100303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alex Michael Vitzthum, DDS
• Lindsay R. Vogel, A.R.N.P.
• Voice Project LLC
• Per Oskar Ilja Von Schewelov Wallen, MD
• Tiffany Ann Vrba, LMSW
• Georgine Wagoner, ARNP
• Nasreen Wahidi, M.D.
• Wal-Mart Stores, Inc. (Vision Center 30-1496)
• Heather Patrice Wales, CNM
• Walgreen Co (Walgreens #07455)

• Clinical Social Worker in Waterloo, IA
• Providers in Waterloo, IA by specialty
• Clinical Social Worker in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.