NPPES file of Aug 9, 2026

Jason Fredrick Wagner, APRN, LMHC, MCAP

Psychiatric/Mental Health Nurse Practitioner · Hollywood, FL

Jason Fredrick Wagner, APRN, LMHC, MCAP is a psychiatric/mental health nurse practitioner with a practice address in Hollywood, Florida, and NPI 1720536691, issued on Sep 20, 2016. Check the license (Florida APRN11004343, as entered in NPPES) on the Florida health license search; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1720536691
Name
Jason Fredrick Wagner
Credential
APRN, LMHC, MCAP
Primary taxonomy
Psychiatric/Mental Health Nurse Practitioner 363LP0808X
License numbers
APRN11004343 FL
MH8961 FL
Self-reported in NPPES; status is on the state search
Practice location
111 W Coral Way, Hollywood, FL 33021
Phone
(954) 964-6338
Enumerated
Sep 20, 2016
Record last updated
May 1, 2024
Fax
(954) 965-1327
Medicare enrollment
Enrolled (PECOS I20250421002841); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 111 W Coral Way

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Cassandra CalcagnoAddiction (Substance Use Disorder) Counselor1861364408
  2. Sara Phuong Hoang, APRNFamily Nurse Practitioner1710649322
  3. Kavita Marajh, PSY.D.Clinical Psychologist1639599913
  4. Kynan Metoyer, PSY.D.Clinical Neuropsychologist1437408572

Verify Jason Fredrick Wagner in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersFlorida health license search
    Search for license APRN11004343    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Florida license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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Industry payments in 2024: $506.71

4 payments; by number, the most common kind was food and beverage; the largest payer was Janssen Pharmaceuticals, Inc. The 23,362 providers of this specialty with any payment received $1,027.77 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Jason Wagner$506.71
  2. Specialty average$1,027.77

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through one group practice

  1. Seminole Tribe OF FloridaHollywood, FL

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

79 psychiatric/mental health nurse practitioner records list a practice address in Hollywood

They are 79 of the 4,676 NPPES records with a practice address in Hollywood, and 4,715 psychiatric/mental health nurse practitioner records in Florida.

All 79 in Hollywood → All 4,715 in Florida → Every provider in Hollywood →

Other psychiatric/mental health nurse practitioner records in Florida

  1. Adara AbdalahDavie, FL1295321412
  2. Alice Abdur-Razzaaq, PMHNPJacksonville, FL1245063494
  3. Lisa Abern, PHMNP-BC, APRNOrlando, FL1861762718
  4. Eloisa Abislaiman, ARNPTampa, FL1093843948
  5. Annamma AbrahamOldsmar, FL1194568279
  6. Johncy Abraham, APRNKissimmee, FL1912788571
  7. Michelle Abraham, APRN, FNP, PMHNPWesley Chapel, FL1912679176
  8. Tanika AbramLargo, FL1376236257
  9. Layne Abreu Pruna, APRNMiami, FL1437968906
  10. Kristoffer Acasio, APRNOrlando, FL1124724307

Common questions

What is Jason Fredrick Wagner, APRN, LMHC, MCAP's NPI number?

Jason Fredrick Wagner, APRN, LMHC, MCAP's National Provider Identifier (NPI) is 1720536691, issued on Sep 20, 2016. An NPI identifies a provider in billing; it is not a license.

Where is Jason Fredrick Wagner, APRN, LMHC, MCAP located?

The NPPES record lists a practice address at 111 W Coral Way, Hollywood, FL, 33021. Phone: (954) 964-6338. Providers update this record themselves, so call before visiting.

How can I verify Jason Fredrick Wagner, APRN, LMHC, MCAP's license?

NPPES lists Florida license number APRN11004343, as entered by the provider. Search the Florida health license search at https://mqa-internet.doh.state.fl.us/mqasearchservices/healthcareproviders. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Written with AI tools from the named public files; every figure is computed from those files (how it is made).

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.