DRS WAGNER & WAGNER PA
NPI 1124087887
Family Medicine in Shiner, TX
About Drs Wagner & Wagner Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DRS WAGNER & WAGNER PA (NPI 1124087887) is a healthcare organization registered as a family medicine in Shiner, Texas and active in the NPI registry since March 2006. The organization holds a CLIA Microscopy certificate valid through September 22, 2027 and lists Ralph Wagner, Partner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 4
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Drs Wagner & Wagner Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Drs Wagner & Wagner PA, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate for Provider-Performed Microscopy Procedures (PPMP) 45D0669172
Drs Wagner And Wagner PA · Shiner, TXFrequently 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 Drs Wagner & Wagner PA's NPI number?
The NPI number for Drs Wagner & Wagner PA is 1124087887. It was assigned to this organization in the NPPES registry on March 21, 2006.
Where is Drs Wagner & Wagner PA located?
Drs Wagner & Wagner PA is located at 124 E Wolters 2nd, Shiner, TX 77984. The listed phone number is (361) 594-3824.
What is Drs Wagner & Wagner PA's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Drs Wagner & Wagner PA enrolled in Medicare?
Yes. Drs Wagner & Wagner PA is registered in the Medicare PECOS enrollment system.
When is Drs Wagner & Wagner PA's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Texas, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Drs Wagner & Wagner PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Family Practice, reassign their Medicare billing to Drs Wagner & Wagner PA. A 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 the clinician's services. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Drs Wagner & Wagner PA hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 45D0669172) is associated with this NPI, valid through September 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Drs Wagner & Wagner PA was last updated on July 18, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Drs Wagner & Wagner Pa · NPI 1124087887
Family Medicine organization in Shiner, Texas. Organization record, active in the CMS NPPES registry since March 21, 2006.
## Identity
- **NPI:** 1124087887 (Entity type: Organization)
- **Enumerated:** March 21, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Ralph Wagner, PARTNER
## Practice location
- **Address:** 124 E WOLTERS 2ND, Shiner, TX 77984-7109
- **Phone:** (361) 594-3824 · **Fax:** (361) 594-4104
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, Texas, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 3 clinicians (Family Practice) reassign Medicare billing to this organization (form CMS-855R); 3 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 18, 2008
- **Other identifiers:** Medicare PIN 00J16X (TX); Medicaid 083112501 (TX); Medicaid 017726301 (TX); and 1 more
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1124087887) · Data from the CMS NPPES public registry.