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

Madison Moore Wagner, FNP-C

Individual provider Nurse Practitioner · NPI 1538848296

Madison Moore Wagner, FNP-C is a Nurse Practitioner in Longview, Texas. Qualified in 2023, 3 years ago. Works from 3 locations. Licensed in Texas.

Years since qualifying
3
Licensed in
TX
In the registry since
2023
Specialties on file
2
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

1107 E Marshall Ave
Longview, TX 75601-5602
Phone: (903) 758-2610
Fax: (903) 758-7081
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2131 S Mobberly Ave, Longview, TX 75602-3563 — (903) 758-2610
  • 1761 W Loop 281, Longview, TX 75604-2734 — (903) 758-2610

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 1128039 (TX)
Nurse Practitioner Taxonomy 363L00000X · Licence 1128039 (TX)

Record details

NPI number1538848296
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedJuly 11, 2023
Last updated in NPPESAugust 26, 2025
Certification dateAugust 26, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated

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