EMILY WAGNER – Emergency Medicine Physician, NPI 1063901213

EMILY WAGNER is a healthcare provider. based in El paso, Texas. specializing in EMERGENCY MEDICINE. They hold a License No. S9621 (TX). The NPI Number for EMILY WAGNER is 1063901213

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
EMILY WAGNER
NPI
1063901213
Phone
Not provided
Address
4800 ALBERTA AVE
Enumeration Date
3 May 2018
Last Update Date
20 January 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2018 (8 years ago)
PAC ID
3779982616
Group Practice PAC ID
3971964032
Professional Enrollment ID
I20210526002818
Address ID
TX786293311GO1110XDRXX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:8State licenses:1Digital endpointsOther names

4,050 EMERGENCY MEDICINE in TX

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Provider Addresses for EMILY WAGNER

  • Academic Education Center (AEC), 4800, Alberta Avenue, El Paso, El Paso County, Texas, 79905, United States

    EL PASO, TX 799052709

    Phone:

    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: 2021-05-26

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
I20210526002818IEmergency MedicineTXTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making150145$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only139132$0
99284Emergency department visit with moderate level of medical decision making5451$0
99291Critical care, first 30-74 minutes1515$0
View full utilization report →

Insurance plans in this area (ZIP 79905)

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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: 3971964032View full group profile
NameSpecialtyState
Emergency MedicineTX
Emergency MedicineMO
Emergency MedicineTX
Family PracticeTX
Emergency MedicineCA

Reviews

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Frequently asked questions

Does EMILY WAGNER share an NPI with anyone else?
NPI numbers are unique to each provider or organization — EMILY WAGNER uses 1063901213.
Can I rely on EMILY WAGNER being an active provider?
As of the registry snapshot, EMILY WAGNER is marked active.
What is EMILY WAGNER's primary classification?
Emergency Medicine Physician is the headline specialty for EMILY WAGNER here. Clinical services aligned with this taxonomy classification.
What address line appears for EMILY WAGNER?
EMILY WAGNER's geographic hint is El Paso, Texas in our summary view.
Is the information about EMILY WAGNER up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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