Kimberly H Wagner, RN, FNP

Nurse practitioner in Tyler, Texas · NPI 1164691465

Kimberly Wagner is one of 637 nurse practitioners practicing in Tyler, Texas. Kimberly Wagner practices with Christus Trinity Clinic.

Registry record (NPPES)

NPI
1164691465
Type
Type 1 · Individual
Primary taxonomy
Nurse Practitioner, Family · 363LF0000X
Address on file
125 W Interstate 30
Royse City, TX 75189-7512
(903) 408-7700
Enumerated
Feb 21, 2008
Record last updated
Mar 6, 2025
License states listed
TX

Medicare (CMS)

Enrollment
Medicare-enrolled in TX
Nurse Practitioner
Revalidation due
No date set by CMS

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Practice locations

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Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.