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

Jena Wagner, APRN

Individual provider Registered Nurse · NPI 1598629172

Jena Wagner, APRN is a Nurse Practitioner in Lakemoor, Illinois. Qualified in 2025, 1 year ago. Practices as a sole proprietor. Licensed in Illinois.

Years since qualifying
1
Licensed in
IL
In the registry since
2025
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.

See every abbreviation used in this directory →

Practice location Address checks out

561 Summer Blvd Apt 303
Lakemoor, IL 60051-6641
Phone: (847) 650-8958
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 209.035260 (IL)
Registered Nurse Taxonomy 163W00000X · Licence 041508241 (IL)

Record details

NPI number1598629172
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorYes
NPI enumeratedDecember 9, 2025
Last updated in NPPESApril 11, 2026
Certification dateApril 11, 2026
Mailing address561 Summer Blvd Apt 303, Lakemoor, IL 60051-6641

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare