Jeanine Christine Wagner, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

20404 Issued in CA

Practice address

27780 Jefferson Ave
Temecula, CA 92590-6602

Phone

(951) 290-1406

NPI assigned

Nov 19, 2009

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

Medicare fee-for-service enrollment

Enrolled in CA, OR2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Acute Care Associates of California PCGroup PAC ID 2668812215, 55 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Southwest Healthcare Rancho Springs Hospital Hospital, Murrieta, CA, CCN 050701

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jwagner@yourcarecommunity.org
• Direct secure messaging: jwagner254282@direct.llu.edu

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.

• Acute Care Associates of California PC

  • Internal Medicine Physician
  • Wildomar, CA
  • NPI 1194588392
  Medicare reassignment Care Compare group NPD
• Healthcare Crossing Corporation

  • Internal Medicine Physician
  • Murrieta, CA
  • NPI 1518953298
  Medicare reassignment NPD
• Inpatient Physicians Network Inc

  • Internal Medicine Physician
  • Temecula, CA
  • NPI 1053461178
  Medicare reassignment NPD
• Inpatient Specialists of California, PC

  • Internal Medicine Physician
  • San Bernardino, CA
  • NPI 1952792475
  Medicare reassignment NPD
• Rancho Family Medical Group, Inc.

  • Family Medicine Physician
  • Temecula, CA
  • NPI 1598791600
  Medicare reassignment NPD
• South Sound Inpatient Physicians PLLC

  • Internal Medicine Physician
  • Hillsboro, OR
  • NPI 1508023789
  Medicare reassignment NPD
• Temecula Valley Hospitalist Medical Group, Inc.

  • Internal Medicine Physician
  • Temecula, CA
  • NPI 1265874135
  Medicare reassignment
• Rincon Health Network

  • Health Service Clinic/Center
  • Temecula, CA
  • NPI 1902697832
  NPD
• Cogent Healthcare of Washington, PC

  • Internal Medicine Physician
  • Vancouver, WA
  • NPI 1861430522
  NPD
• Camino Real Emergency Physicians PLLC

  • Emergency Medicine Physician
  • Livingston, TX
  • NPI 1992871966
  NPD (past)
• Texas Emergency Room Services PA

  • Emergency Medicine Physician
  • Lufkin, TX
  • NPI 1992843387
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Universal Health Services of Rancho Springs Inc

  • General Acute Care Hospital
  • Murrieta, CA
  • NPI 1245221050
  Care Compare affiliation

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

{
    "created_epoch": "1258588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706832000000",
    "number": "1982932539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28780 SINGLE OAK DR STE 260",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925905534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27780 JEFFERSON AVE",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925906602",
            "telephone_number": "951-290-1406"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "28780 Single Oak Dr Ste 260",
            "address_purpose": "LOCATION",
            "city": "Temecula",
            "state": "CA",
            "postal_code": "925905534",
            "country_code": "US",
            "telephone_number": "951-331-2200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "JEANINE",
        "middle_name": "CHRISTINE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-19",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "RN348218",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "20404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane D Waddell, PHD
• Wade Faerber D.O., a Medical Corporation
• Shirley K Wade
• Valarie Wade
• Cali Waggoner
• Kristine Tiffany Wagner, PH.D.
• Maricris Edilloran Wagner, RPH
• Felicia Wakeland
• Abida Zohal Wali, N.D.
• Walk Run Randall

• Family Nurse Practitioner in Temecula, CA
• Providers in Temecula, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2024; 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.