Individual provider Active NPI

Paula Wagner, FNP

  • Nurse Practitioner
  • Sacramento, CA
National Provider Identifier
1760467948
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
A83339 Issued in CA
Practice address
4860 Y St
Suite 2200
Sacramento, CA 95817-2307
Phone
(916) 734-8482
Fax
(916) 734-8094
NPI assigned
Dec 12, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X A83339 CA Primary

Addresses

Primary practice location

4860 Y St
Suite 2200
Sacramento, CA 95817-2307

Mailing address

4860 Y St
Suite 2200
Sacramento, CA 95817-2307
Phone (916) 734-8482

Other identifiers 1

IdentifierTypeStateIssuer
ZZZ19781ZMedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, DE2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050606000801 CA Practitioner - Nurse Practitioner 7719920297 Reassigns benefits to 2 organizations
I20250630000850 DE Practitioner - Nurse Practitioner 7719920297 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A83339CAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the Univ of Ca CurrentSince Feb 7, 2001 Accepting new patients
Regents of the University of California Current Accepting new patients
Regents of the Univ of Ca Current Accepting new patients
The Nemours Foundation CurrentSince Jul 1, 2025 Accepting new patients
Regents of the University of Ca CurrentSince Oct 1, 2011 Accepting new patients
The Nemours Foundation CurrentSince Jul 1, 2025 Accepting new patients
Regents of the University of California CurrentSince Oct 1, 2011 Accepting new patients
Regents of the Univ of Ca CurrentSince Feb 7, 2001 Accepting new patients
The Nemours Foundation Past Accepting new patients

Locations

2261 Douglas Blvd
Roseville, CA 95661
Phone (916) 783-1044

4900 Broadway
Ste 2800
Sacramento, CA 95820
Phone (916) 734-9313

4860 Y St
Ste 2200
Sacramento, CA 95817
Phone (916) 734-2222

4860 Y St
Sacramento, CA 95817
Phone (916) 734-2700

500 University Ave
Ste 220
Sacramento, CA 95825
Phone (916) 286-8700

4860 Y St
Ste 200
Sacramento, CA 95817
Phone (916) 734-3761

1535 River Park Dr
Ste 2000
Sacramento, CA 95815
Phone (916) 286-1010

101 Wellness Way
Milford, DE 19963
Phone (302) 422-4559

1600 Rockland Rd
Wilmington, DE 19803

1813 Sweetbay Dr
Salisbury, MD 21804
Phone (410) 219-5483

Interoperability endpoints

  • Direct secure messaging: pwagner150703@direct.nemours.org

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1134345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1760467948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4860 Y ST",
            "address_2": "SUITE 2200",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958172307",
            "telephone_number": "916-734-8482",
            "fax_number": "916-734-8094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4860 Y ST",
            "address_2": "SUITE 2200",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958172307",
            "telephone_number": "916-734-8482",
            "fax_number": "916-734-8094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "PAULA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-12",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "A83339",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ19781Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.