Jacqueline Hagenbuch, APRN-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN3290112 Issued in FL

Practice address

4800 Deerwood Campus Pkwy
Jacksonville, FL 32246-8317

Phone

(800) 793-7050

NPI assigned

Jul 27, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Jackie Hagenbuch Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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 and National Provider Directory roles.

• Florida Em-I Medical Services PA

  • Emergency Medicine Physician
  • Largo, FL
  • NPI 1831149848
  NPD (past)
• Russell Emergency Physicians LLC

  • Emergency Medicine Physician
  • Largo, FL
  • NPI 1245289180
  NPD (past)
• The Healthcaring Clinic of Florida, LLC

  • Family Nurse Practitioner
  • Orange City, FL
  • NPI 1003914441
  NPD (past)

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695081600000",
    "number": "1467466417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 SEABOARD LN STE 200B",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370678282",
            "telephone_number": "800-793-7050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 DEERWOOD CAMPUS PKWY",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322468317",
            "telephone_number": "800-793-7050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGENBUCH",
        "first_name": "JACQUELINE",
        "credential": "APRN-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP3290112",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN3290112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACKIE",
            "last_name": "HAGENBUCH",
            "credential": "APRN-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Chandala Monique Hagans, APRN
• George T Hage-Nassar, MD
• Virginia Lee Hagen, LMHC
• Jackie Floyd Hagenbaumer
• Lee Thomas Hagenbaumer, CRNA
• Matthew Glenn Hager, MD
• Sarah Hager
• Sarah Marilyn Hagerty, DMD
• Hannah Marie Hagewood
• Ahmed Mohamed Haggag, M.D

• Family Nurse Practitioner in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.