Individual provider Active NPI

Ann Agbor, APRN-CNP, RN

  • Family Nurse Practitioner
  • Wylie, TX
National Provider Identifier
1043062763
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
225428 Issued in TX
Practice address
117 Lantana LN
Wylie, TX 75098-4636
Phone
(214) 908-4483
NPI assigned
Apr 4, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 225428 TX Primary

Addresses

Primary practice location

117 Lantana LN
Wylie, TX 75098-4636

Mailing address

117 Lantana LN
Wylie, TX 75098-4636
Phone (214) 908-4483

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251204000472 TX Practitioner - Nurse Practitioner 8123511532 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
KHS Geriatrics IncGroup PAC ID 9133427008, 9 clinicians

Practice addresses (Care Compare)

21014 Cordell Landing Dr
Richmond, TX 77407-4114
Phone (832) 646-0581

Hospital & facility affiliations

  • The Home Health Team Home health agency, Richardson, TX, CCN 747573
  • Encompass Home Health of DFW Home health agency, Grapevine, TX, CCN 679428
  • Absolutely Angels Inc Home health agency, Pilot Point, TX, CCN 457848
  • Reliant at Home Home health agency, Plano, TX, CCN 679352
  • Paradigm Homecare Home health agency, Plano, TX, CCN 747818

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
225428TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Supreme Touch Healthcare Services LLC Family CurrentSince Oct 10, 2025 Accepting new patients
Supreme House Calls PLLC Family CurrentSince Jun 3, 2026 Accepting new patients
KHS Geriatrics Inc Family CurrentSince Feb 20, 2026 Accepting new patients

Organizations & group practices 3

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

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1712188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759968000000",
    "number": "1043062763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 LANTANA LN",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "750984636",
            "telephone_number": "214-908-4483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 LANTANA LN",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "750984636",
            "telephone_number": "214-908-4483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGBOR",
        "first_name": "ANN",
        "credential": "APRN-CNP, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-04",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "225428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wylie, TX

Sources for this page

Verify at the official NPI Registry.