ELISABETH A WAGNER D.O.
NPI 1407896616
Obstetrics & Gynecology in Fort Worth, TX
About Elisabeth A Wagner D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELISABETH A WAGNER D.O. (NPI 1407896616) is an individual obstetrics & gynecology provider in Fort Worth, Texas, licensed in Texas (M8411) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Texas Health Harris Methodist Hospital Southwest F, and is a graduate of Kansas City College Of Medicine And Surgery (1995).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 4
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
Elisabeth A Wagner D.o. 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 Elisabeth Wagner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fort Worth, TX 76104
- Reassigned Medicare billing, Texas enrollment
- Medicare enrollment name: Texas Health Care PLLC
- 511 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.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Texas Health Harris Methodist Hospital Southwest F
Acute Care Hospitals · Fort Worth, TXMedical City Alliance
Acute Care Hospitals · Fort Worth, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 76104 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.
FORT WORTH, TX 76104
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 Elisabeth Wagner's NPI number?
The NPI number for Elisabeth Wagner is 1407896616. It was assigned to this individual provider in the NPPES registry on June 7, 2006.
Where is Elisabeth Wagner located?
Elisabeth Wagner practices at 1250 8th Avenue Suite 435, Fort Worth, TX 76104. The listed phone number is (817) 923-0088.
What is Elisabeth Wagner's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.
Is Elisabeth Wagner enrolled in Medicare?
Yes. Elisabeth 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 Elisabeth Wagner's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Elisabeth Wagner reassigns Medicare benefits to Texas Health Care, P.L.L.C. (Fort Worth, 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 Elisabeth Wagner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Elisabeth Wagner accept?
Health plans from Baylor Scott and White Health Plan and Blue Cross and Blue Shield of Texas list Elisabeth 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 Elisabeth Wagner affiliated with any hospitals?
According to CMS data, Elisabeth Wagner is affiliated with Texas Health Harris Methodist Hospital Southwest F and Medical City Alliance.
When was this NPI record last updated?
The NPPES record for Elisabeth Wagner was last updated on October 7, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Elisabeth A Wagner, D.O. · NPI 1407896616
Obstetrics & Gynecology physician in Fort Worth, Texas. Individual provider, active in the CMS NPPES registry since June 7, 2006.
## Identity
- **NPI:** 1407896616 (Entity type: Individual)
- **Enumerated:** June 7, 2006
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **State license:** M8411 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 1250 8TH AVENUE, SUITE 435, Fort Worth, TX 76104-4144
- **Phone:** (817) 923-0088 · **Fax:** (817) 924-5144
## 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:** Texas Health Care, P.L.L.C. (NPI 1033275318, Fort Worth, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Kansas City College Of Medicine And Surgery, class of 1995
## Record status
- **NPPES last updated:** October 7, 2011
- **Other identifiers:** Medicare UPIN H46429; Medicaid 190303103 (TX); Other P00927384 (TX); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1407896616) · Data from the CMS NPPES public registry.