Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Zachary Patrick Wagner, FNP-C

Individual provider Family Nurse Practitioner · NPI 1801388863

Mr. Zachary Patrick Wagner, FNP-C is a Nurse Practitioner in Peoria, Arizona. Qualified in 2018, 8 years ago. Practices with Kmtrask PLLC, a 15-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
8
Licensed in
AZ
In the registry since
2018
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

8877 W Union Hills Dr Ste 240
Peoria, AZ 85382
Phone: (623) 217-2500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 521 W Townley Ave, Phoenix, AZ 85021-4566 — (602) 616-9991

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence TAP11338 (AZ)

Record details

NPI number1801388863
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP-C
Sole proprietorYes
NPI enumeratedJune 5, 2018
Last updated in NPPESNovember 29, 2018

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Kmtrask Pllc — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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