Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Christy Wagner, APRN

Individual provider Adult Health Nurse Practitioner · NPI 1417204942

Christy Wagner, APRN is a Nurse Practitioner in Jacksonville, Florida. Qualified in 2012, 14 years ago. Practices with Physical Medicine Specialists, Inc, a 60-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
14
Licensed in
FL
In the registry since
2012
Specialties on file
2
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

4500 San Pablo Rd S
Jacksonville, FL 32224-1865
Phone: (904) 953-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 11537 Woodsong Inlet Dr, Jacksonville, FL 32225-1016 — (904) 910-5022

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence APRN9208914 (FL)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence ARNP9208914 (FL)

Record details

NPI number1417204942
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedAugust 15, 2012
Last updated in NPPESAugust 31, 2020
Certification dateAugust 31, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Physical Medicine Specialists, Inc — 60 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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