Amansa Rae Wagner, is a
Nurse Practitioner - Family based in Westlake Hills, Texas. Amansa Rae Wagner is licensed to practice in Texas (license number 1195987) and her current practice location is
4201 Bees Cave Road, Ste C106, Westlake Hills, Texas. She can be reached at her office (for appointments etc.) via phone at
(210) 834-9087.
NPI number for Amansa Rae Wagner is 1215899786 and her current mailing address is 4201 Bee Caves Rd Ste C106, West Lake Hills, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1215899786.
Provider's Profile
| Full Name | Amansa Rae Wagner |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner - Family |
|---|
| Location | 4201 Bees Cave Road, Westlake Hills, Texas |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1215899786
- Provider Enumeration Date: 12/02/2025
- Last Update Date: 12/02/2025
Medical Identifiers
Medical identifiers for Amansa Rae Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1215899786 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LF0000X | Nurse Practitioner - Family | 1195987 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Amansa Rae Wagner is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Amansa Rae Wagner, 4201 Bee Caves Rd Ste C106, West Lake Hills, TX 78746-6493 Ph: (210) 834-9087 | Amansa Rae Wagner, 4201 Bees Cave Road, Ste C106, Westlake Hills, TX 78746-6493 Ph: (210) 834-9087 |
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