Doctor profile · Federal record
Dr. Jenny Wagner
Nurse Practitioner · Peoria, IL
- NPI 1063885556
- Accepts Medicare
- 12 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
100 Ne Randolph Ave
Peoria, IL 616061919
(309) 624-8500
fax (309) 624-8552
Credentials & registration
- NPI registered
- November 2015 — 11 yrs on file
- Year of graduation
- 2014 — 12 yrs since
- Specialty taxonomy
- 363L00000X — NUCC code
- State license (1)
- Illinois #209.013545
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1063885556. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
305
Distinct HCPCS
6
Medicare allowed
$34,453
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 102 | 79 | $102 | |
99215 |
Established patient office or other outpatient visit, 40-54 minutes | 58 | 49 | $147 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 52 | 50 | $73 | |
99205 |
New patient office or other outpatient visit, 60-74 minutes | 49 | 49 | $181 | |
G2212 |
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or | 29 | 17 | $27 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 15 | 15 | $137 |
In context: peer comparison
Among 52 peers in this city , average services per provider: 278. This provider delivers 1.1× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
1,362
Patients
250
Total drug cost
$90,842
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Gabapentin | Generic | 182 | 33 | $2,924 |
| Levetiracetam | Generic | 149 | 29 | $6,380 |
| Topiramate | Generic | 142 | 29 | $1,958 |
| Donepezil Hcl | Generic | 118 | 31 | $2,114 |
| Lamotrigine | Generic | 113 | 21 | $1,690 |
| Pregabalin | Generic | 92 | 18 | $8,197 |
| Carbidopa-Levodopa (Carbidopa/Levodopa) | Brand | 78 | 23 | $3,989 |
| Memantine Hcl | Generic | 76 | 19 | $2,663 |
| Primidone | Generic | 70 | 13 | $2,294 |
| Tizanidine Hcl | Generic | 63 | 12 | $479 |
Hospital affiliations
Frequently asked questions
What is Dr. Jenny Wagner's medical specialty?
Dr. Jenny Wagner practices Nurse Practitioner in Peoria, IL.
Where does Dr. Jenny Wagner practice?
Dr. Jenny Wagner practices at 100 Ne Randolph Ave, Peoria, IL 616061919. Office phone: 3096248500.
What is Dr. Jenny Wagner's NPI?
Dr. Jenny Wagner's National Provider Identifier (NPI) is 1063885556, issued by NPPES.
Does Dr. Jenny Wagner accept Medicare assignment?
Yes. Dr. Jenny Wagner accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Jenny Wagner commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); Established patient office or other outpatient visit (HCPCS 99215); Established patient office or other outpatient visit (HCPCS 99213). Source: CMS Medicare Physician & Other Practitioners file.