Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Katharine Lyle Holmes Wagner, CPNP

Individual provider Pediatric Nurse Practitioner · NPI 1306374202

Katharine Lyle Holmes Wagner, CPNP is a Nurse Practitioner in Aurora, Colorado. Qualified in 2016, 10 years ago. Practices with University Physicians Incorporated, a 3,148-clinician group and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
10
Licensed in
CO
In the registry since
2017
Specialties on file
2
What do these letters mean?
CPNP — Certified Pediatric Nurse Practitioner
A nurse practitioner certified in paediatrics.

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Practice location Address checks out

12605 E 16th Ave
Aurora, CO 80045-2545
Phone: (720) 848-0000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence APN.0993047-NP (CO)
Pediatric Nurse Practitioner Taxonomy 363LP0200X · Licence APN0993047-NP (CO)

Record details

NPI number1306374202
Entity typeIndividual (Type 1)
GenderFemale
Credentials CPNP
Sole proprietorNo
NPI enumeratedMay 23, 2017
Last updated in NPPESMay 1, 2023
Certification dateMay 1, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice University Physicians Incorporated — 3148 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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