P Praxis·MD
● Active Type 1 · Individual

Kimberly H Wagner, R.N., F.N.P

Nurse Practitioner·Royse City, TX· NPI 1164691465 · Enumerated 2008 · 18 years on NPI
Wagner is 1 of 14 nurse practitioner providers in Royse City and 1 of 22123 in Texas.
NPI age
18 years
Enumerated 2008-02-21
Primary specialty
Nurse Practitioner
Plus 1 subspecialty
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-03-06
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 22123 active nurse practitioner providers in Texas.

NPI age
18 years
↑ 11 yr above median (7 yr)
State licenses
1 state
5% of peers hold multiple states
Subspecialties
0
23% of peers hold subspecialties

NPI lifetime · 2008 → 2026

2008-02Enumerated in NPPES
2008 2026

Where they practice

Practice location
125 W Interstate 30
Royse City, TX 751897512
📞 9034087700fax 9034087810
Mailing address
4211 Joe Ramsey Blvd E, Suite 100
Greenville, TX 754017852
📞 9034087710fax 9034087810

Additional practice locations

1 secondary location on file with NPPES.

Location 2
650 E Lennon Dr
Emory, TX 754403227
📞 9034737234

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    TX license #AP116554TX license #RN 603948 taxonomy 363LF0000X

Identifiers

TypeValueNotes
01 (TX) 603948 RN FNP LICENSE
05 (TX) 220100601

Practice context

Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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