AMY MARIE WAGNER FNP
NPI 1174186217
Nurse Practitioner - Family in Houston, TX
About Amy Marie Wagner Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AMY MARIE WAGNER FNP (NPI 1174186217) is an individual family provider in Houston, Texas, licensed in Texas (AP143439) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).
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 (PECOS)
Amy Marie Wagner Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Amy Wagner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Houston, TX 77030
- Reassigned Medicare billing, Texas enrollment
- Medicare enrollment name: Texas Childrens Physician Group
- 2,498 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 77030 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
HOUSTON, TX 77030
HOUSTON, TX 77030
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 Amy Wagner's NPI number?
The NPI number for Amy Wagner is 1174186217. It was assigned to this individual provider in the NPPES registry on April 15, 2019.
Where is Amy Wagner located?
Amy Wagner practices at 6701 Fannin St, Houston, TX 77030. The listed phone number is (832) 824-1000.
What is Amy Wagner's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Amy Wagner enrolled in Medicare?
Yes. Amy Wagner is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Amy Wagner's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Amy Wagner reassigns Medicare benefits to Texas Children's Physician Group (Houston, 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 Amy Wagner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Amy Wagner accept?
Health plans from Antidote Health of TX, Harbor Health and Moda Health Plan, Inc. list Amy 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 Amy Wagner was last updated on March 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Amy Marie Wagner, FNP · NPI 1174186217
Family physician in Houston, Texas. Individual provider, active in the CMS NPPES registry since April 15, 2019.
## Identity
- **NPI:** 1174186217 (Entity type: Individual)
- **Enumerated:** April 15, 2019
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** AP143439 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 6701 FANNIN ST, Houston, TX 77030-2608
- **Phone:** (832) 824-1000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Texas Children's Physician Group (NPI 1861675506, Houston, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** March 24, 2022
---
Source: [NPI Profile](https://npiprofile.com/npi/1174186217) · Data from the CMS NPPES public registry.