Amansa Rae Wagner
Nurse Practitioner, Family in Westlake Hills, TX. Individual provider (NPI-1).
NPI number1215899786
StatusActive
Last updated in NPPESDec 2, 2025
Details
- NPI
- 1215899786
- Entity type
- Individual (NPI-1)
- Name
- Amansa Rae Wagner
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 2, 2025
- Certification date
- Dec 2, 2025
- Last updated
- Dec 2, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 1195987 | TX | Yes |
Practice location
4201 Bees Cave RoadSte C106
Westlake Hills, TX 78746-6493
Phone 210-834-9087
Mailing address
4201 Bee Caves Rd Ste C106West Lake Hills, TX 78746-6493
Phone 210-834-9087
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