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Dr. Jillian Renee Hagerman , DO

Pediatrics β€’ Tampa, FL

Active NPI 1194111237 Individual Practitioner Female Practitioner
Practice location in NPPES

17 Davis Blvd Ste 308
Tampa, FL 336063438

Call 8132598725 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

17 Davis Blvd Ste 308

Tampa, FL 336063438

Telephone 8132598725
Fax 8132598792
Organization at the Same NPPES Address or Phone
Usf Health Facility NPI 1619307667

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Tacoma, WA. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2015

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Hagerman has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Hagerman as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Tampa and Florida

230 active clinicians are listed under Pediatrics with a practice address in Tampa, FL (4,001 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Tampa

1.3% of these 230 clinicians have the CMS telehealth indicator.

8.7% of these 230 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-08-01
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

License # reported to NPPES WA OP60954917

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

License # reported to NPPES FL OS15373

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
100088500 (FL)
Other Identifier Blue Cross Blue Shield
52225 (FL)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PEDIATRIC MEDICINE

Medicare Enrollment ID

I20220817000274

Enrollment State Jurisdiction

WA

PECOS Control ID

6800145319

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

209 Martin Luther King Jr Way

Tacoma, WA 984054265

Phone: 2535963300

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

2 listed
Dr. Darren Adderly , MD

Internal Medicine

NPI 1386904522

Doctor of Medicine (M.D.)

NPI 1194111047

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Business Mailing Address August 01, 2022

Registered at 209 MARTIN LUTHER KING JR WAY, TACOMA, WA 984054265 (Tel: 2535963300)

πŸ“
Updated Business Mailing Address October 12, 2018

Registered at PO BOX 917770, ORLANDO, FL 328910001 (Tel: 8139742201)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 12, 2018

Pediatrics (license number reported to NPPES: FL OS15373)

βœ…
NPI Profile Active April 14, 2015

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) April 14, 2015

Registered at 17 DAVIS BLVD STE 308, TAMPA, FL 336063438 (Tel: 8132598725)

πŸ“
Business Mailing Address (Initial Record) April 14, 2015

Registered at 17 DAVIS BLVD STE 308, TAMPA, FL 336063438 (Tel: 8132502506)

πŸ‘€
Provider Name / Credentials (Initial Record) April 14, 2015

Recorded as JILLIAN HAGERMAN, D.O.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 14, 2015

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration April 14, 2015

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1194111237
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 14, 2015
Last Update: August 01, 2022
Sole Proprietor: No

Other Pediatrics Specialists in Tampa

All Pediatrics Specialists in Tampa

Mailing Address

209 Martin Luther King Jr Way

Tacoma, WA 984054265

Phone: 2535963300

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.