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KIMBERLY H WAGNER R.N., F.N.P
NPI 1164691465
Nurse Practitioner - Family in Royse City, TX

Active since February 21, 2008PECOS EnrolledAccepts Medicare Assignment
125 W INTERSTATE 30, ROYSE CITY, TX 75189(903) 408-7700(903) 408-7810 Get Directions Write a Review

NPPES record last updated: March 6, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kimberly H Wagner R.n., F.n.p NPPES

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

KIMBERLY H WAGNER R.N., F.N.P (NPI 1164691465) is an individual family provider in Royse City, Texas, licensed in Texas (AP116554) and active in the NPI registry since February 2008. She is enrolled in Medicare PECOS, is affiliated with Christus Mother Frances Hospital, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1164691465
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKIMBERLY H WAGNERCredential: R.N., F.N.P
Location Address125 W INTERSTATE 30Royse City, TX 75189-7512
Mailing Address4211 Joe Ramsey Blvd E, Suite 100Greenville, TX 75401-7852 · (903) 408-7710 · Fax (903) 408-7810
Phone(903) 408-7700
Fax(903) 408-7810
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateFebruary 21, 2008
Last NPPES UpdateMarch 6, 2025
NPPES CertifiedMarch 6, 2025
✔ NPI 1164691465 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
Licenses✔ Licensed in TX · AP116554✔ Licensed in TX · RN 603948
125 W INTERSTATE 30, Royse City, TX 75189
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Other Identifiers 2

Other603948TX · Rn Fnp License
Medicaid220100601TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kimberly H Wagner R.n., F.n.p 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 ID941480271
PECOS Enrollment IDI20110203000690
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.

Hospital Affiliations CMS Care Compare 2

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

Christus Mother Frances Hospital

Acute Care Hospitals · Tyler, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450102
Location800 East DawsonTyler, TX 75701 · Smith County
Emergency services Birthing friendly

Christus Mother Frances Hospital Sulphur Springs

Acute Care Hospitals · Sulphur Springs, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450236
Location115 Airport RdSulphur Springs, TX 75482 · Hopkins County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75189 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
97%2,198 patients4/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
99%104 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
26%186 patients2/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
56%186 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
5%186 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
19%186 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 2

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

TEXAS DENTAL HOMES PLLC
Dentist
125 W INTERSTATE 30, SUITE 109
ROYSE CITY, TX 75189
Rockwall County (925) 324-4152
JNPTX LLC
Pharmacy (Community/Retail Pharmacy)
125 W INTERSTATE 30
ROYSE CITY, TX 75189
Rockwall County (469) 723-5120

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 Kimberly Wagner's NPI number?

The NPI number for Kimberly Wagner is 1164691465. It was assigned to this individual provider in the NPPES registry on February 21, 2008.

Where is Kimberly Wagner located?

Kimberly Wagner practices at 125 W Interstate 30, Royse City, TX 75189. The listed phone number is (903) 408-7700.

What is Kimberly Wagner's specialty?

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

Is Kimberly Wagner enrolled in Medicare?

Yes. Kimberly 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.

What insurance does Kimberly Wagner accept?

Health plans from Blue Cross and Blue Shield of Texas and CHRISTUS Health Plan list Kimberly 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.

Is Kimberly Wagner affiliated with any hospitals?

According to CMS data, Kimberly Wagner is affiliated with Christus Mother Frances Hospital and Christus Mother Frances Hospital Sulphur Springs.

When was this NPI record last updated?

The NPPES record for Kimberly Wagner was last updated on March 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.