Individual provider Active NPI

Candiss Ryan Trager, FNP-C

  • Family Nurse Practitioner
  • Kyle, TX
National Provider Identifier
1881117679
Registry record updated Apr 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP134179 Issued in TX
Practice address
1300 Dacy LN Ste 110
Kyle, TX 78640-4194
Phone
(512) 268-8126
NPI assigned
Jul 24, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2026

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 AP134179 TX Primary

Addresses

Primary practice location

1300 Dacy LN Ste 110
Kyle, TX 78640-4194

Mailing address

1300 Dacy LN Ste 110
Kyle, TX 78640-4194
Phone (512) 268-8126

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
I20170914000304 TX Practitioner - Nurse Practitioner 5890069884 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lungdocs, P.a.Group PAC ID 6507082690, 4 clinicians

Practice addresses (Care Compare)

1300 Dacy LN
Suite 110
Kyle, TX 78640-4194
Phone (512) 268-8126

790 Generations Dr
Suite 405
New Braunfels, TX 78130-6720
Phone (512) 268-8126

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lungdocs, P.a. CurrentSince Nov 14, 2017 Accepting new patients

Locations

1300 Dacy Ln
Ste 110
Kyle, TX 78640
Phone (512) 268-8126

790 Generations Dr
Ste 405
New Braunfels, TX 78130
Phone (210) 767-2549

Organizations & group practices 1

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": "1500854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775606400000",
    "number": "1881117679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 DACY LN STE 110",
            "city": "KYLE",
            "state": "TX",
            "postal_code": "786404194",
            "telephone_number": "512-268-8126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 DACY LN STE 110",
            "city": "KYLE",
            "state": "TX",
            "postal_code": "786404194",
            "telephone_number": "512-268-8126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAGER",
        "first_name": "CANDISS",
        "middle_name": "RYAN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-24",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP134179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kyle, TX

Sources for this page

Verify at the official NPI Registry.