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

Mrs. Keri Jean Wagner, NP

Individual provider Family Nurse Practitioner · NPI 1053433474

Mrs. Keri Jean Wagner, NP is a Nurse Practitioner in Commack, New York. Qualified in 2005, 21 years ago. Practices with MSKCC Regional Network, a 128-clinician group, accepts Medicare assignment and offers telehealth. 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.

See every abbreviation used in this directory →

Practice location Address checks out

650 Commack Rd
Commack, NY 11725-5404
Phone: (631) 623-4000
Fax: (631) 864-2787
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 F334793 (NY)

Record details

NPI number1053433474
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedApril 5, 2007
Last updated in NPPESMay 13, 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 Mskcc Regional Network — 128 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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