| Kimberly H Wagner, RN, FNP | |
|
125 W Interstate 30, Royse City, TX 75189-7512 | |
| (903) 408-7700 | |
| (903) 408-7810 |
| Full Name | Kimberly H Wagner |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 19 Years |
| Location | 125 W Interstate 30, Royse City, Texas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164691465 | NPI | - | NPPES |
| 603948 | Other | TX | RN FNP LICENSE |
| 220100601 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | RN 603948 (Texas) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | AP116554 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Christus Mother Frances Hospital Sulphur Springs | Sulphur springs, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Christus Trinity Clinic | 3072426741 | 1246 |
| Entity Name | Christus Trinity Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285684225 PECOS PAC ID: 3072426741 Enrollment ID: O20031204001091 |
| Entity Name | Pca Primary Care Associates Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790723468 PECOS PAC ID: 3971568023 Enrollment ID: O20041130000881 |
| Entity Name | Hunt Regional Urgent Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033617931 PECOS PAC ID: 1850729682 Enrollment ID: O20200505000566 |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly H Wagner, RN, FNP 4211 Joe Ramsey Blvd E, Suite 100, Greenville, TX 75401-7852 Ph: (903) 408-7710 | Kimberly H Wagner, RN, FNP 125 W Interstate 30, Royse City, TX 75189-7512 Ph: (903) 408-7700 |
Mrs. Cindy Lucille Robinson, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6774 Fm 1565, Royse City, TX 75189 Phone: 214-228-7852 | |
Tiffany Haney, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 624 I 30 E Ste 100, Royse City, TX 75189 Phone: 972-635-2173 | |
Gabrielle Garcia, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6257 Fm 2642 Blvd Ste 100, Royse City, TX 75189 Phone: 469-800-3670 | |
Mrs. Samantha Raye Rainey, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6743 I 30 West, Ste 202, Royse City, TX 75189 Phone: 469-707-6170 Fax: 469-707-6179 | |
Kenya J Ballard, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8154 County Road 2419, Royse City, TX 75189 Phone: 214-552-8606 | |
Kearsty Busby, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6257 Fm 2642 Blvd Ste 100, Royse City, TX 75189 Phone: 469-800-3670 |