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

Jennifer Ann Wagner, NP

Individual provider Family Nurse Practitioner · NPI 1346459591

Jennifer Ann Wagner, NP is a Nurse Practitioner in Nyack, New York. Qualified in 2005, 21 years ago. Practices with White Plains Medical Diagnostic Services, PC, a 96-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
21
Licensed in
NY
In the registry since
2007
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

255 Fifth Ave
Nyack, NY 10960-1824
Phone: (845) 362-1750
Fax: (845) 362-1577
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 334755 (NY)

Record details

NPI number1346459591
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedMay 22, 2007
Last updated in NPPESJune 21, 2010

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice White Plains Medical Diagnostic Services, Pc — 96 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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