JANE WAGEMA-JOHNSON GNP NPI 1316206352

NPI Information

  • NPI: 1316206352
  • Provider Name: JANE WAGEMA-JOHNSON, GNP
  • Classification: Nurse Practitioner - 363LG0600X
  • Specialization: Gerontology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 100 CUMMINGS CTR
    SUITE 222C
    BEVERLY, MA
    ZIP 01915
  • Phone: (978) 524-9510

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NPI Details

Jane Wagema-johnson, GNP is a gerontology nurse practitioner in Beverly, MA. Jane Wagema-johnson, GNP NPI is 1316206352. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

100 CUMMINGS CTR
SUITE 222C
BEVERLY, MA
ZIP 01915-115
Phone: (978) 524-9510

The NPI 1316206352 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/11/2012 and was last updated on 5/11/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LG0600XNurse PractitionerGerontology242191MASSACHUSETTSYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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