MRS. NICOLE MARIE WAGNER LSA
NPI 1831986017
Specialist/Technologist, Other - Surgical Assistant in Wylie, TX

Active since April 22, 2025

NPPES record last updated: April 22, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Nicole Marie Wagner Lsa NPPES

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

MRS. NICOLE MARIE WAGNER LSA (NPI 1831986017) is an individual surgical assistant in Wylie, Texas, licensed in Texas (SA00976) and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1831986017
Entity TypeIndividualFemale
Primary Taxonomy246ZC0007X
Provider Legal NameMRS. NICOLE MARIE WAGNERCredential: LSA
Location Address409 KATHY LNWylie, TX 75098-4544
Mailing Address409 Kathy LnWylie, TX 75098-4544 · (817) 897-8481
Sole ProprietorNo
Enumeration DateApril 22, 2025
NPPES CertifiedApril 22, 2025
NPI 1831986017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialist/Technologist, Other · Surgical AssistantTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code246ZC0007X
License Licensed in TX · SA00976
Definition
A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training.
409 KATHY LN, Wylie, TX 75098

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 Nicole Wagner's NPI number?

The NPI number for Nicole Wagner is 1831986017. It was assigned to this individual provider in the NPPES registry on April 22, 2025.

Where is Nicole Wagner located?

Nicole Wagner practices at 409 Kathy Ln, Wylie, TX 75098. The listed phone number is (817) 897-8481.

What is Nicole Wagner's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Other, specializing in Surgical Assistant, with taxonomy code 246ZC0007X.

When was this NPI record last updated?

The NPPES record for Nicole Wagner was last updated on April 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.