LAURA L WAGNER APRN, FNP
NPI 1013443589
Nurse Practitioner - Family in Texarkana, TX

Q: What is Laura Wagner's NPI number?

The NPI number for Laura Wagner is 1013443589. It was assigned to this individual provider in the NPPES registry on May 3, 2017.

Q: What is Laura Wagner's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Laura Wagner was last updated on May 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 03, 2017PECOS EnrolledAccepts Medicare Assignment

2717 SUMMERHILL RD, TEXARKANA, TX 75503(903) 792-1404(903) 792-2681 Get Directions Write a Review

NPPES record last updated: May 18, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 18, 2026, Mar 12, 2026, May 3, 2021 and 4 more (7 updates tracked since 2017).

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About Laura L Wagner Aprn, Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAURA L WAGNER APRN, FNP (NPI 1013443589) is an individual family provider in Texarkana, Texas, licensed in Texas (AP134028) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS, is affiliated with St Anthony Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1013443589

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameLAURA L WAGNERCredential: APRN, FNP

Location Address2717 SUMMERHILL RDTexarkana, TX 75503-3957

Mailing Address5002 Cowhorn Creek RdTexarkana, TX 75503-9766 · (903) 614-3000 · Fax (903) 614-3525

Phone(903) 792-1404

Fax(903) 792-2681

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateMay 3, 2017

Last NPPES UpdateMay 18, 20267 updates tracked since enumeration

NPPES CertifiedMay 18, 2026

✔ NPI 1013443589 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in TX · AP134028

2717 SUMMERHILL RD, Texarkana, TX 75503

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Laura L Wagner Aprn, Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1456629039

PECOS Enrollment IDI20170623000169

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Laura Wagner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Unified Women's Healthcare Of Texas PLLC

163 mi

Obstetrics & Gynecology

15303 DALLAS PKWY STE 650
Addison, TX 75001

Reassigned Medicare billing, Texas enrollment
Medicare enrollment name: Unified Womens Healthcare Of Texas PLLC
271 clinicians in this Medicare group

NPI 1952703373 (561) 300-2410

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Anthony Hospital

Critical Access Hospitals · Pendleton, OR

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number381319

Location2801 St Anthony WayPendleton, OR 97801 · Umatilla County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75503 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARK EDWARD SUTHERLAND M.D.

Surgery