Yvonne M Wagner, RN, ANP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

231032 Issued in TX

Practice address

2122 Highway 71 S
101
Columbus, TX 78934-3011

Phone

(979) 732-2318

Fax

(979) 732-2310

NPI assigned

Aug 12, 2006

Last updated

Jul 19, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/7997/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Columbus Community Hospital

  • Rural Acute Care Hospital
  • Columbus, TX
  • NPI 1740238641
  NPD
• Columbus Community Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Columbus, TX
  • NPI 1881713477
  NPD
• Columbus Community Hospital

  dba Columbus Medical Clinic

  • Rural Health Clinic/Center
  • Columbus, TX
  • NPI 1558474999
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658188800000",
    "number": "1013929744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2122 HIGHWAY 71 S",
            "address_2": "101",
            "city": "COLUMBUS",
            "state": "TX",
            "postal_code": "789343011",
            "telephone_number": "979-732-2318",
            "fax_number": "979-732-2310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2122 HIGHWAY 71 S",
            "address_2": "101",
            "city": "COLUMBUS",
            "state": "TX",
            "postal_code": "789343011",
            "telephone_number": "979-732-2318",
            "fax_number": "979-732-2310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "YVONNE",
        "middle_name": "M",
        "credential": "RN, ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-12",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "231032",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112272302",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112272305",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christi Renee Trapp
• Kate Merlen Ueckert
• Staci M Ulrich, MA, LPC
• Gabriel Adrian Valencia, MD
• Heather Marie Vasser, M.D.
• Wal-Mart Stores Texas LLC (Walmart Pharmacy 10-0503)
• West Wharton County Hospital District (Trucare Living Centers-Columbus)
• David Carroll Wilkinson II, MD
• John Perry Wooten, M.D.

• Nurse Practitioner in Columbus, TX
• Providers in Columbus, TX by specialty
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.