ELIZABETH J WANNER – Family Medicine Physician, NPI 1922004969

ELIZABETH J WANNER is a healthcare provider. based in Tomball, Texas. specializing in FAMILY PRACTICE. They hold a License No. H8495 (TX). The NPI Number for ELIZABETH J WANNER is 1922004969

Main info

Female
Sole Proprietor
37 Years Of Experience
Accepts Medicare Assignment
Name
ELIZABETH J WANNER
NPI
1922004969
Phone
(281) 351-1411
Address
1101 ALMA ST
Enumeration Date
23 June 2005
Last Update Date
26 April 2012

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON
Secondary Phone
2814405300
Graduation Year
1989 (37 years ago)
PAC ID
1153587068
Group Practice PAC ID
9537569843
Professional Enrollment ID
I20120723000063
Address ID
TX773750158TO26940RDXX315
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

8,705 FAMILY PRACTICE in TX

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Provider Addresses for ELIZABETH J WANNER

  • 1101, Alma Street, Tomball, Harris County, Texas, 77375, United States

    STE 102

    TOMBALL, TX 773754559

    Phone: (281) 351-1411

    Fax: (281) 351-0240

    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 84 Open Payments records for all available years, with a total value of $1,439.

Total Amount is formed as General ($1,439) + Research ($0) + Ownership ($0) = $1,439.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: ABBVIE INC. ($330).

Total Amount

$1,439

General + Research + Ownership

Payments

84

Total payment records

General Amount

$1,439

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: 2012-07-23

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
I20120723000063IFamily PracticeTXTBD

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
99490Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month735118$0
99213Established patient office or other outpatient visit, 20-29 minutes602346$0
99214Established patient office or other outpatient visit, 30-39 minutes495275$0
80053Blood test, comprehensive group of blood chemicals417271$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count397273$0
View full utilization report →

Insurance plans in this area (ZIP 77375)

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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: 9537569843View full group profile
NameSpecialtyState
Family PracticeTX
Internal MedicineFL
Family PracticeTX

Reviews

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Frequently asked questions

What is ELIZABETH J WANNER's NPI number?
ELIZABETH J WANNER's NPI is 1922004969 — the number used across U.S. healthcare to identify this provider.
Would ELIZABETH J WANNER appear as active to a payer?
You can treat ELIZABETH J WANNER as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is ELIZABETH J WANNER?
ELIZABETH J WANNER is associated with Family Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
Is ELIZABETH J WANNER located near Tomball?
ELIZABETH J WANNER currently maps to Tomball, Texas in this extract.
Does ELIZABETH J WANNER accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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