ANN AGBOR (APRN-CNP, RN) – Family Nurse Practitioner, NPI 1043062763

ANN AGBOR (APRN-CNP, RN) is a healthcare provider. based in Wylie, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN-CNP, RN. They hold a License No. 225428 (TX). The NPI Number for ANN AGBOR (APRN-CNP, RN) is 1043062763

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
ANN AGBOR (APRN-CNP, RN)
NPI
1043062763
Phone
(214) 908-4483
Address
117 LANTANA LN
Enumeration Date
4 April 2024
Last Update Date
9 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8326460581
Graduation Year
2023 (3 years ago)
PAC ID
8123511532
Group Practice PAC ID
9133427008
Professional Enrollment ID
I20251204000472
Address ID
TX774074114RI21014DRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness85
Years active:2State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for ANN AGBOR (APRN-CNP, RN)

  • 117 LANTANA LN

    WYLIE, TX 750984636

    Phone: (214) 908-4483

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-12-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20251204000472INurse PractitionerTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 75098)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9133427008View full group profile
NameSpecialtyState
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
-TX
Nurse PractitionerTX

Reviews

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Frequently asked questions

How do I look up ANN AGBOR (APRN-CNP, RN) by NPI?
Use NPI 1043062763 when you need to reference ANN AGBOR (APRN-CNP, RN) in forms, claims, or directories.
Is ANN AGBOR (APRN-CNP, RN)'s NPI currently valid?
The extract we use shows ANN AGBOR (APRN-CNP, RN) as active.
What does ANN AGBOR (APRN-CNP, RN) treat or focus on?
Patients typically see ANN AGBOR (APRN-CNP, RN) under the specialty Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location metadata exists for ANN AGBOR (APRN-CNP, RN)?
The page summarizes Wylie, Texas for ANN AGBOR (APRN-CNP, RN); expand the address list for detail.
Is ANN AGBOR (APRN-CNP, RN) a real provider?
This page reflects official NPPES data for NPI 1043062763. Always confirm identity and privileges with the practice and licensing boards.

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