Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Derrick C Wagner, FNP-C

Individual provider Nurse Practitioner · NPI 1952685125

Derrick C Wagner, FNP-C is a Nurse Practitioner in Victoria, Texas. Qualified in 2011, 15 years ago. Practices with Memorial Hermann Hospital Based Physician Group, a 269-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
15
Licensed in
TX
In the registry since
2011
Specialties on file
3
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

3002 Sam Houston Dr
Victoria, TX 77904-2682
Phone: (361) 578-5730
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4936 Beechnut St, Houston, TX 77096-1605 — (281) 783-8162

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence AP120984 (TX)
Nurse Practitioner Taxonomy 363L00000X · Licence AP120984 (TX)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 737124 (TX)

Record details

NPI number1952685125
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedOctober 5, 2011
Last updated in NPPESSeptember 25, 2024
Certification dateSeptember 25, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Memorial Hermann Hospital Based Physician Group — 269 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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