Derrick C Wagner, FNP-C - Medicare Nurse Practitioner in Victoria, TX

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Derrick C Wagner, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Victoria, Texas. He graduated from nursing school in 2011 and has 13 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Memorial Hermann Hospital Based Physician Group, Memorial Hermann Urgent Care Pllc and his current practice location is 3002 Sam Houston Dr, Victoria, Texas. You can reach out to his office (for appointments etc.) via phone at (361) 578-5730.

Derrick C Wagner is licensed to practice in Texas (license number AP120984) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1952685125.

Contact Information

Derrick C Wagner, FNP-C
3002 Sam Houston Dr,
Victoria, TX 77904-2682
(361) 578-5730
Not Available

Map and Direction




Provider's Profile

Full NameDerrick C Wagner
GenderMale
SpecialityNurse Practitioner
Experience13 Years
Location3002 Sam Houston Dr, Victoria, Texas
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Derrick C Wagner graduated from nursing school in 2011
  NPI Data:
  • NPI Number: 1952685125
  • Provider Enumeration Date: 10/05/2011
  • Last Update Date: 09/25/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0244406932
  • Enrollment ID: I20111230000095

Medical Identifiers

Medical identifiers for Derrick C Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1952685125NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner AP120984 (Texas)Secondary
363LF0000XNurse Practitioner - Family 737124 (Texas)Secondary
363LF0000XNurse Practitioner - Family AP120984 (Texas)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Memorial Hermann Hospital Based Physician Group4385075480246
Memorial Hermann Urgent Care Pllc488007167998

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Derrick C Wagner allows following entities to bill medicare on his behalf.
Entity NameEmergigroup Physician Associates Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962456459
PECOS PAC ID: 0941283238
Enrollment ID: O20041004000857
Entity NameAcs Primary Care Physicians Southwest Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538101019
PECOS PAC ID: 1850204363
Enrollment ID: O20041206000027
Entity NameUcp Physicians Of Central Texas, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922289412
PECOS PAC ID: 3173697935
Enrollment ID: O20080729000203
Entity NameKirby Emergency Physicians Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568699445
PECOS PAC ID: 7517010093
Enrollment ID: O20090730000543
Entity NameWest Houston Emergency Physicians, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568763290
PECOS PAC ID: 3476738030
Enrollment ID: O20110425000536
Entity NameOleander Emergency Medicine Associates Pa
Entity TypePart B Supplier - Hospital Department(s)
Entity IdentifiersNPI Number: 1346515103
PECOS PAC ID: 1759544232
Enrollment ID: O20120521000151
Entity NameNluc Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518209113
PECOS PAC ID: 3072752302
Enrollment ID: O20130618000619
Entity NameSan Jacinto Emergency Physicians Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205225299
PECOS PAC ID: 7719203629
Enrollment ID: O20150311000793
Entity NameNext Level Mv Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013432285
PECOS PAC ID: 5991062085
Enrollment ID: O20171128000837
Entity NameMemorial Hermann Hospital Based Physician Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295363497
PECOS PAC ID: 4385075480
Enrollment ID: O20200505001521
Entity NameMemorial Hermann Urgent Care Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730821208
PECOS PAC ID: 4880071679
Enrollment ID: O20220517001605

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Derrick C Wagner is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Derrick C Wagner, FNP-C
16107 Kensington Dr, Suite 126,
Houston, TX 77089-6041

Ph: (361) 676-5519		Derrick C Wagner, FNP-C
3002 Sam Houston Dr,
Victoria, TX 77904-2682

Ph: (361) 578-5730

Reviews and Comments


Nurse Practitioner Nurses in Victoria, TX

Ginger Gaile Carver, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 3408 Sam Houston Dr, Victoria, TX 77904
Phone: 361-844-8866    Fax: 361-894-6064
Joyce Howard, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 601 E San Antonio St, Ste 203w, Victoria, TX 77901
Phone: 361-576-0004    Fax: 361-575-1265
Alyssa Canales, MSN, AGACNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 102 Santa Fe, Victoria, TX 77904
Phone: 361-212-6409    
Claudia Lizeth Amador, PMHNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 101 W Goodwin Ave, Suite 340, Victoria, TX 77901
Phone: 361-576-9700    
Jessica Lee Helms, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 605 E San Antonio St Ste 310e, Victoria, TX 77901
Phone: 361-485-9600    Fax: 361-485-9610
Jason Cochrum,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2701 Hospital Dr, Victoria, TX 77901
Phone: 361-575-6396    Fax: 361-578-5203
Ann Flowers, RN, MSN, NP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 4504 N Laurent St, Victoria, TX 77901
Phone: 361-573-9999    Fax: 361-573-9998

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.