Jill Marie Wagner, MS

Primary specialty

Health EducatorTaxonomy code 174H00000X

Practice address

704 1St Dr NW
Austin, MN 55912-3099

Phone

(507) 433-1804

NPI assigned

May 4, 2018

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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.

• Young Men's Christian Association of Austin, Minnesota

  • Health Educator
  • Austin, MN
  • NPI 1659820215
  NPD (past)

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

{
    "created_epoch": "1525392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525392000000",
    "number": "1992294987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 1ST DR NW",
            "city": "AUSTIN",
            "state": "MN",
            "postal_code": "559123099",
            "telephone_number": "507-433-1804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 1ST DR NW",
            "city": "AUSTIN",
            "state": "MN",
            "postal_code": "559123099",
            "telephone_number": "507-433-1804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "JILL",
        "middle_name": "MARIE",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-04",
        "last_updated": "2018-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Ann Voogd, LPN
• Vop South Grove Lodge, LLC (South Grove Lodge Senior Living)
• Akaylah Maire Vue
• Mark Wachlin, LADC
• Gary Allen Wagenaar, MS LADC
• Bruce Kevin Waite, D.O.
• Wal-Mart Stores, Inc. (Walmart Vision CEnter 30-4257)
• Walgreen Co (Walgreens #09094)
• Walleye Dental LLC
• Katherine Wallin, LICSW

• Health Educator in Austin, MN
• Providers in Austin, MN by specialty
• Health Educator in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2018; 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.