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CAROLYN WAGNER
NPI 1801142302
Pediatrics in Lake Jackson, TX

Active since August 02, 2012PECOS Enrolled
208 OAK DR S STE 400, LAKE JACKSON, TX 77566(979) 285-2900 Get Directions Write a Review

NPPES record last updated: July 22, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Carolyn Wagner NPPES

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

CAROLYN WAGNER (NPI 1801142302) is an individual pediatrics provider in Lake Jackson, Texas, licensed in Texas (Q3306) and active in the NPI registry since August 2012. She is enrolled in Medicare PECOS and maintains a secondary practice location in Houston.

NPPES Registry Identity

NPI1801142302
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameCAROLYN WAGNER
Location Address208 OAK DR S STE 400Lake Jackson, TX 77566-5640
Mailing Address6431 Fannin St, Msb 3.020bHouston, TX 77030-1501
Phone(979) 285-2900
Sole ProprietorNo
Enumeration DateAugust 2, 2012
Last NPPES UpdateJuly 22, 2025
NPPES CertifiedJuly 22, 2025
✔ NPI 1801142302 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in TX · Q3306
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
208 OAK DR S STE 400, Lake Jackson, TX 77566
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Secondary Practice Location 1

Location 16431 Fannin St, MSB 3.020BHouston, TX 77030-1501 · Phone (713) 500-5800

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Community Health Choice, Oscar Insurance Company.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)

Carolyn 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77566 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
$88.15 typical visit price
range $57.16 – $172.89
Typical copayment $22.03 (range $14.29 – $43.22)
Most-billed visit code 99203
Established Patient
$100.84 typical visit price
range $18.45 – $141.27
Typical copayment $25.21 (range $4.61 – $35.31)
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

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. LINDA RENESE NEELY SHELMIRE M.D.
Pediatrics
208 OAK DR S STE 400
LAKE JACKSON, TX 77566
Brazoria County (979) 285-2900

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 Carolyn Wagner's NPI number?

The NPI number for Carolyn Wagner is 1801142302. It was assigned to this individual provider in the NPPES registry on August 2, 2012.

Where is Carolyn Wagner located?

Carolyn Wagner practices at 208 Oak Dr S Ste 400, Lake Jackson, TX 77566. The listed phone number is (979) 285-2900.

What is Carolyn Wagner's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Carolyn Wagner enrolled in Medicare?

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

What insurance does Carolyn Wagner accept?

Health plans from Blue Cross and Blue Shield of Texas, Community Health Choice and Oscar Insurance Company list Carolyn 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 Carolyn Wagner was last updated on July 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.