DEBRA WAGNER (PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1104654599

DEBRA WAGNER (PMHNP-BC) is a healthcare provider. based in Spring, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP-BC. They hold a License No. 1169608 (TX). The NPI Number for DEBRA WAGNER (PMHNP-BC) is 1104654599

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
DEBRA WAGNER (PMHNP-BC)
NPI
1104654599
Phone
Not provided
Address
22325 GOSLING RD
Enumeration Date
25 July 2024
Last Update Date
9 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2817247980
Graduation Year
2020 (6 years ago)
PAC ID
3375084064
Group Practice PAC ID
7810391984
Professional Enrollment ID
I20240921000012
Address ID
TX774292004CY13145RDXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for DEBRA WAGNER (PMHNP-BC)

  • 22325 GOSLING RD

    SPRING, TX 773894409

    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)

CMS reports 3 Open Payments records for all available years, with a total value of $52.

Total Amount is formed as General ($52) + Research ($0) + Ownership ($0) = $52.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Axsome Therapeutics, Inc. ($18).

Total Amount

$52

General + Research + Ownership

Payments

3

Total payment records

General Amount

$52

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2024-09-21

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
I20240921000012INurse 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 77389)

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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: 7810391984View full group profile
NameSpecialtyState
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerMA
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX

Reviews

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Frequently asked questions

What federal number belongs to DEBRA WAGNER (PMHNP-BC)?
The federal identifier for DEBRA WAGNER (PMHNP-BC) is NPI 1104654599.
Is DEBRA WAGNER (PMHNP-BC)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does DEBRA WAGNER (PMHNP-BC) list a primary specialty?
If you are matching referrals, note Psychiatric/Mental Health Nurse Practitioner for DEBRA WAGNER (PMHNP-BC). Clinical services aligned with this taxonomy classification.
Where is DEBRA WAGNER (PMHNP-BC)'s primary listing?
We display Spring, Texas because that is what the record indicates for DEBRA WAGNER (PMHNP-BC).
What if Spring, Texas seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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