ROYAL HAVEN MEDICAL
NPI 1740895911
Nurse Practitioner - Primary Care in Mansfield, TX
About Royal Haven Medical NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ROYAL HAVEN MEDICAL (NPI 1740895911) is a healthcare organization registered as a primary care in Mansfield, Texas and active in the NPI registry since September 2020. The organization lists Paidamoyo Wagoneka, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Royal Haven Medical is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
9Medicare enrollment records show 9 clinicians reassign Medicare billing to Royal Haven Medical, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (9)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Royal Haven Medical's NPI number?
The NPI number for Royal Haven Medical is 1740895911. It was assigned to this organization in the NPPES registry on September 14, 2020.
Where is Royal Haven Medical located?
Royal Haven Medical is located at 2384 Highway 287 N Ste 216, Mansfield, TX 76063. The listed phone number is (817) 400-0433.
What is Royal Haven Medical's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Royal Haven Medical enrolled in Medicare?
Yes. Royal Haven Medical is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Royal Haven Medical?
According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 3 Medicare specialties reassign their Medicare billing to Royal Haven Medical. A 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 the clinician's services. The largest specialties are Nurse Practitioner (7), Family Practice (1) and Internal Medicine (1). Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Royal Haven Medical accept?
Health plans from Blue Cross and Blue Shield of Texas, Cigna Healthcare and Molina Healthcare list Royal Haven Medical 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 Royal Haven Medical was last updated on June 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Royal Haven Medical · NPI 1740895911
Primary Care organization in Mansfield, Texas. Organization record, active in the CMS NPPES registry since September 14, 2020.
## Identity
- **NPI:** 1740895911 (Entity type: Organization)
- **Enumerated:** September 14, 2020
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **Organization subpart:** No
- **Authorized official:** Paidamoyo Wagoneka, OWNER
## Practice location
- **Address:** 2384 HIGHWAY 287 N STE 216, Mansfield, TX 76063-9207
- **Phone:** (817) 400-0433 · **Fax:** (817) 415-6595
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 9 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (7), Family Practice (1), Internal Medicine (1); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 10, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1740895911) · Data from the CMS NPPES public registry.