DEBRA WAGNER PMHNP-BC
NPI 1104654599
Nurse Practitioner - Psychiatric/Mental Health in Spring, TX
About Debra Wagner Pmhnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DEBRA WAGNER PMHNP-BC (NPI 1104654599) is an individual psychiatric/mental health provider in Spring, Texas, licensed in Texas (1169608) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Debra Wagner Pmhnp-bc 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.
Medicare Billing Reassignment
Medicare enrollment records show Debra Wagner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Spring, TX 77389
- Reassigned Medicare billing, Texas enrollment
- 35 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 77389 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 19
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SPRING, TX 77389
SPRING, TX 77389
SPRING, TX 77389
SPRING, TX 77389
SPRING, TX 77389
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Debra Wagner's NPI number?
The NPI number for Debra Wagner is 1104654599. It was assigned to this individual provider in the NPPES registry on July 25, 2024.
Where is Debra Wagner located?
Debra Wagner practices at 22325 Gosling Rd, Spring, TX 77389. The listed phone number is (281) 724-7980.
What is Debra Wagner's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Debra Wagner enrolled in Medicare?
Yes. Debra Wagner is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Debra Wagner's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Debra Wagner reassigns Medicare benefits to Southern Magnolia Management LLC (Spring, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Debra Wagner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Debra Wagner accept?
Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 5 other insurers list Debra Wagner as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Debra Wagner was last updated on August 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.
# Debra Wagner, PMHNP-BC · NPI 1104654599
Psychiatric/Mental Health physician in Spring, Texas. Individual provider, active in the CMS NPPES registry since July 25, 2024.
## Identity
- **NPI:** 1104654599 (Entity type: Individual)
- **Enumerated:** July 25, 2024
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 1169608 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 22325 GOSLING RD, Spring, TX 77389-4409
- **Phone:** (281) 724-7980
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Southern Magnolia Management LLC (NPI 1346866845, Spring, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** August 9, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1104654599) · Data from the CMS NPPES public registry.