Active NPI
Paula Wagner, FNP
- Nurse Practitioner
- Sacramento, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- A83339
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZZ19781Z | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, DE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A83339 | CA | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the Univ of Ca | Current | 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 | Current | Accepting new patients | |
| Regents of the University of Ca | Current | Accepting new patients | |
| The Nemours Foundation | Current | 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 | 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
- 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.
-
- Maternal & Fetal Medicine Physician
- Sacramento, CA
- NPI 1013906973
-
- Multi-Specialty Clinic/Center
- Sacramento, CA
- NPI 1952998973
-
- Multi-Specialty Clinic/Center
- Wilmington, DE
- NPI 1366594699
-
- Urology Physician
- Sacramento, CA
- NPI 1346233368
-
- Diagnostic Radiology Physician
- Sacramento, CA
- NPI 1477546406
-
- Family Medicine Physician
- Sacramento, CA
- NPI 1992930986
-
- Multi-Specialty Clinic/Center
- Roseville, CA
- NPI 1144200775
-
- Children's Hospital
- Wilmington, DE
- NPI 1467505073
-
- Multi-Specialty Clinic/Center
- Jacksonville, FL
- NPI 1265585806
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.