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CRYSTAL WAGNER
NPI 1215393319
Physician Assistant - Surgical in Houston, TX

Active since January 06, 2016PECOS Enrolled
18200 KATY FWY, HOUSTON, TX 77094(832) 227-1000 Get Directions Write a Review

NPPES record last updated: January 6, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Crystal Wagner NPPES

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

CRYSTAL WAGNER (NPI 1215393319) is an individual surgical provider in Houston, Texas and active in the NPI registry since January 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215393319
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameCRYSTAL WAGNER
Location Address18200 KATY FWYHouston, TX 77094-1285
Mailing Address18200 Katy FwyHouston, TX 77094-1285
Phone(832) 227-1000
Sole ProprietorNo
Enumeration DateJanuary 6, 2016
✔ NPI 1215393319 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
18200 KATY FWY, Houston, TX 77094
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Crystal Wagner is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

MRS. MIRANDA CHRISTINE ROGERS CPNP
Nurse Practitioner (Pediatrics)
18200 KATY FWY
HOUSTON, TX 77094
Harris County (832) 824-5327
DEBORA E BARNOLA APRN PNP-AC
Nurse Practitioner (Pediatrics)
18200 KATY FWY
HOUSTON, TX 77094
Harris County (832) 824-1000
CATHERINE ECKARD IVEY PSYD
Psychologist
18200 KATY FWY
HOUSTON, TX 77094
Harris County (832) 227-1000
ADAM DOUGLAS SALOOM DPT
Physical Therapist (Sports)
18200 KATY FWY
HOUSTON, TX 77094
Harris County (337) 288-6990
MRS. PURVI SHAAN VORA PT
Physical Therapist (Sports)
18200 KATY FWY
HOUSTON, TX 77094
Harris County (832) 227-1827
MISS TAIDE VIANEY GUAJARDO
Physician Assistant
18200 KATY FWY
HOUSTON, TX 77094
Harris County (832) 227-1000
MRS. LAYNE BROWN PA-C
Physician Assistant
18200 KATY FWY
HOUSTON, TX 77094
Harris County (832) 227-1620
MAYA TAKANO PA-C
Physician Assistant
18200 KATY FWY
HOUSTON, TX 77094
Harris County (832) 227-1000

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 Crystal Wagner's NPI number?

The NPI number for Crystal Wagner is 1215393319. It was assigned to this individual provider in the NPPES registry on January 6, 2016.

Where is Crystal Wagner located?

Crystal Wagner practices at 18200 Katy Fwy, Houston, TX 77094. The listed phone number is (832) 227-1000.

What is Crystal Wagner's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Crystal Wagner enrolled in Medicare?

Yes. Crystal Wagner is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Crystal Wagner was last updated on January 6, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.