HEATHER JAY WAGAMAN CRNP NPI 1417621376

NPI Information

  • NPI: 1417621376
  • Provider Name: HEATHER JAY WAGAMAN, CRNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 100 CORPORATE CENTER DR STE 100
    CAMP HILL, PA
    ZIP 17011
  • Phone: (717) 763-1174

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NPI Details

Heather Jay Wagaman, CRNP is a family nurse practitioner in Camp Hill, PA with 5 years of experience. Heather Jay Wagaman, CRNP NPI is 1417621376. 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 CORPORATE CENTER DR STE 100
CAMP HILL, PA
ZIP 17011-758
Phone: (717) 763-1174
Fax: (717) 763-8960

The NPI 1417621376 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count (HCPCS:85025)
  • Blood test, comprehensive group of blood chemicals (HCPCS:80053)
  • Triglycerides level (HCPCS:84478)
  • Hdl cholesterol level (HCPCS:83718)
  • Blood test, thyroid stimulating hormone (tsh) (HCPCS:84443)
  • Manual urinalysis test with examination using microscope, automated (HCPCS:81001)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Telephone medical discussion with physician, 5-10 minutes (HCPCS:99441)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Hemoglobin a1c level (HCPCS:83036)
  • Influenza vaccine split virus, preservative free (HCPCS:90662)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • Vitamin d-3 level (HCPCS:82306)
  • Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg (HCPCS:J3420)
  • Telephone medical discussion with physician, 11-20 minutes (HCPCS:99442)
  • Removal of impacted ear wax (HCPCS:69210)
  • Adm sarscov2 50mcg/0.25mlbst (HCPCS:0064A)
  • Fee covid-19 vac 14 res (HCPCS:0134A)
  • Cyanocobalamin (vitamin b-12) level (HCPCS:82607)
  • Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus (HCPCS:87426)
  • Psa (prostate specific antigen) measurement, total (HCPCS:84153)
  • Creatinine level to test for kidney function or muscle injury (HCPCS:82570)
  • Urine microalbumin (protein) level (HCPCS:82043)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)

The enumeration date for this NPI number is 8/4/2021 and was last updated on 9/5/2025.

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
1363LF0000XNurse PractitionerFamilySP024038PENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
115298988OTHERCAQH

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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