What is Jillicia Wagner's NPI number?

Jillicia Wagner's National Provider Identifier (NPI) is 1629839022, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Jillicia Wagner's specialty?

Jillicia Wagner is listed in the NPPES registry with a primary specialty of Peer Specialist (Other Service Providers).

Where is Jillicia Wagner located?

Jillicia Wagner's practice location on file with NPPES is 3111 Electric Ave, Port Huron, MI 48060-8127.

What is Jillicia Wagner's phone number?

The practice phone number listed in the NPPES registry for Jillicia Wagner is (810) 985-8900.

Is Jillicia Wagner's NPI active?

Yes — Jillicia Wagner's NPI (1629839022) is active in the NPPES registry as of the last update on 2024-01-22.

IndividualActive

Jillicia Wagner

NPI 1629839022 · Peer Specialist · Port Huron, MI

Jillicia Wagner is a Peer Specialist provider in Port Huron, MI (NPI 1629839022).

Provider details

NPI number: 1629839022
Entity type: Individual
Primary specialty: Peer SpecialistOther Service Providers
Sex: Female
Sole proprietor: No

Specialties & taxonomies

Peer SpecialistPrimary175T00000X
Other Service Providers

Profile Score

Established profile(51/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
2 yrs in NPPES registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

3111 Electric Ave

Port Huron, MI 48060-8127

Phone: (810) 985-8900

Street-level locationGet directions

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Mailing address