JILL IRENE WAGONER APRN NPI 1942928114

NPI Information

  • NPI: 1942928114
  • Provider Name: JILL IRENE WAGONER, APRN
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1900 SOUTH AVE
    LA CROSSE, WI
    ZIP 54601
  • Phone: (608) 397-3123

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NPI Details

Jill Irene Wagoner, APRN is an adult health nurse practitioner in La Crosse, WI with 5 years of experience. Jill Irene Wagoner, APRN NPI is 1942928114. 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:

1900 SOUTH AVE
LA CROSSE, WI
ZIP 54601-467
Phone: (608) 397-3123

The NPI 1942928114 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 8/15/2022 and was last updated on 9/14/2022.

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
1363LA2100XNurse PractitionerAcute Care11818-33WISCONSINNo
2363LA2200XNurse PractitionerAdult Health11818-33WISCONSINYes

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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