MADISON MOORE WAGNER FNP-C
NPI 1538848296
Nurse Practitioner - Family in Longview, TX

Q: What is Madison Wagner's NPI number?

The NPI number for Madison Wagner is 1538848296. It was assigned to this individual provider in the NPPES registry on July 11, 2023.

Q: What is Madison Wagner's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Madison Wagner was last updated on August 26, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 11, 2023PECOS Enrolled

1107 E MARSHALL AVE, LONGVIEW, TX 75601(903) 758-2610(903) 758-7081 Get Directions Write a Review

NPPES record last updated: August 26, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 8, 2024, Jan 5, 2024, Jul 12, 2023 (3 updates tracked since 2023).

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About Madison Moore Wagner Fnp-c NPPES

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

MADISON MOORE WAGNER FNP-C (NPI 1538848296) is an individual family provider in Longview, Texas, licensed in Texas (1128039) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1538848296

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMADISON MOORE WAGNERCredential: FNP-C

Location Address1107 E MARSHALL AVELongview, TX 75601-5602

Mailing Address1107 E Marshall AveLongview, TX 75601-5602 · (903) 758-2610 · Fax (903) 758-7081

Phone(903) 758-2610

Fax(903) 758-7081

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateJuly 11, 2023

Last NPPES UpdateAugust 26, 20253 updates tracked since enumeration

NPPES CertifiedAugust 26, 2025

✔ NPI 1538848296 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in TX · 1128039

Also ListedNurse PractitionerTaxonomy 363L00000X · License 1128039 (TX)

1107 E MARSHALL AVE, Longview, TX 75601

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Secondary Practice Locations 2

Location 12131 S Mobberly AveLongview, TX 75602-3563 · Phone (903) 758-2610 · Fax (903) 758-7081

Location 21761 W Loop 281Longview, TX 75604-2734 · Phone (903) 758-2610 · Fax (903) 758-7081

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Madison Moore Wagner Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1254848005

PECOS Enrollment IDI20250728001817

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75601 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.

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.

LIZETH GARCIA RN

Registered Nurse (Case Management)