Nancy Helene Wagner, AGPCNP-BC, A-GNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

1123837 Issued in TX

Practice address

701 Paluxy Rd
Granbury, TX 76048-2355

Phone

(817) 573-4585

NPI assigned

Jul 28, 2023

Last updated

Feb 7, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hood Medical GroupGroup PAC ID 2567446669, 56 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Renew Home Health Home health agency, Fort Worth, TX, CCN 457893
• Enhabit Home Health Home health agency, Granbury, TX, CCN 679021
• Lake Granbury Medical Center Hospital, Granbury, TX, CCN 450596

Merit-based Incentive Payment System (MIPS)

Final score

89.53 of 100Reported as apm

Quality

79.07

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nancy.wagner.1@1293.direct.athenahealth.com
• Direct secure messaging: nancy.wagner.2@1293.direct.athenahealth.com

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.

• Hood Medical Group

  • Family Medicine Physician
  • Granbury, TX
  • NPI 1225096472

  Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Hood Medical Group

  • Rural Health Clinic/Center
  • Granbury, TX
  • NPI 1386341535
  NPD

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

• Eh of Fort Worth, LP

  dba Enhabit Home Health

  • Home Health Agency
  • Granbury, TX
  • NPI 1730331414
  Care Compare affiliation
• Granbury Hospital Corporation

  dba Lake Granbury Medical Center

  • General Acute Care Hospital
  • Granbury, TX
  • NPI 1114998911
  Care Compare affiliation
• Maxus Healthcare Partners LLC

  dba Renew Home Health

  • Home Health Agency
  • Fort Worth, TX
  • NPI 1407191612
  Care Compare affiliation

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

{
    "created_epoch": "1690502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1619658960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 PALUXY RD",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760482355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 PALUXY RD",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760482355",
            "telephone_number": "817-573-4585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "NANCY",
        "middle_name": "HELENE",
        "credential": "AGPCNP-BC, A-GNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-28",
        "last_updated": "2024-02-07",
        "certification_date": "2023-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1123837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sany Prasad Vattakunnel, PHARM D
• James Vaughan
• VT Medical Group, LLC
• Kevin Hieu Vu, D.D.S., M.S., C.D.T
• Bruce B Wadley, OD
• Wal-Mart Stores Texas LLC (Walmart Pharmacy 10-0371)
• Wal-Mart Stores Texas, LP (Vision Center 30-0371)
• Walgreen Co (Walgreens #05921)
• Walgreen Co (Walgreens #21519)
• Murray Blair Wall, RPH

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.