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

Erik W Wagner, FNP

Individual provider Family Nurse Practitioner · NPI 1033129150

Erik W Wagner, FNP is a Nurse Practitioner in Mesa, Arizona. Qualified in 2012, 14 years ago. Practices with Mulberry Medical LLC, a 30-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
14
Licensed in
AZ
In the registry since
2006
Specialties on file
2
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

4838 E Baseline Rd Bldg 2 Ste 109
Mesa, AZ 85206-4677
Phone: (480) 969-4040
Fax: (480) 830-1042
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4838 E. Baseline Rd., Mesa, AZ 85206-4677 — (480) 626-2552

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence AP4826 (AZ)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence TAP4826 (AZ)

Record details

NPI number1033129150
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP
Sole proprietorNo
NPI enumeratedAugust 9, 2006
Last updated in NPPESNovember 21, 2019

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Mulberry Medical Llc — 30 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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