Jennifer L Wagner, AU.D.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

23002421A Issued in IN

Practice address

2035 Commerce Dr Ste 208
Bluffton, IN 46714-9295

Phone

(260) 706-2558

Fax

(260) 435-1595

NPI assigned

Sep 6, 2007

Last updated

Oct 15, 2020By the provider in NPPES

Sex

Female

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

• Jennifer L Hill Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• J. Wagner, LLC

  dba Experience Audiology

  • Audiologist
  • Bluffton, IN
  • NPI 1306794904
  NPD Authorized official
• Carter Hearing Clinics LLC

  • Audiologist
  • Fort Wayne, IN
  • NPI 1801127295
  NPD (past)

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

{
    "created_epoch": "1189036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602720000000",
    "number": "1679767396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2035 COMMERCE DR STE 208",
            "city": "BLUFFTON",
            "state": "IN",
            "postal_code": "467149295",
            "telephone_number": "260-706-2558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2035 COMMERCE DR STE 208",
            "city": "BLUFFTON",
            "state": "IN",
            "postal_code": "467149295",
            "telephone_number": "260-706-2558",
            "fax_number": "260-435-1595"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "832 S 11th St",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "IN",
            "postal_code": "467333402",
            "country_code": "US",
            "telephone_number": "260-706-2558",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-06",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IN",
            "license": "23002421A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "HILL",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Turning Point Behavioral Health Services P.C.
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• James E Van Winkle, OD
• Andrew L Vogel, PT
• Michael Paul Volpe, MD
• Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-2819)
• Wal-Mart Stores East, LP (Vision Center 30-2819)
• Walgreen Co (Walgreens #7472)
• Loren J Wanner, M.D.
• Wells County Auditor (Wells County Health Department)

• Audiologist in Bluffton, IN
• Providers in Bluffton, IN by specialty
• Audiologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.