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

Tricia Agustin, MD

Individual provider Family Medicine Physician · NPI 1063691673

Tricia Agustin, MD is a Family Practice in Henderson, Nevada. Qualified in 1994, 32 years ago. Practices with Bacchus Wakefield Kahan PC, a 21-clinician group, works from 5 locations, accepts Medicare assignment and offers telehealth. Licensed in Nevada.

Years since qualifying
32
Licensed in
NV
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

100 N Green Valley Pkwy Ste 239
Henderson, NV 89074-7704
Phone: (702) 844-4841
Fax: (702) 844-4844
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 5255 E Williams Cir Ste 3000, Tucson, AZ 85711-7407 — (520) 392-8400
  • 3369 Ne Stephens St Ste 100, Roseburg, OR 97470-1200 — (541) 677-8900
  • 272 Nw Medical Loop Ste B, Roseburg, OR 97471-5545 — (547) 591-8007
  • 2525 12th St Se Ste 260, Salem, OR 97302-2282 — (971) 701-9058

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 13714 (NV)

Record details

NPI number1063691673
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 31, 2007
Last updated in NPPESOctober 26, 2021
Certification dateOctober 26, 2021

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Group practice Bacchus Wakefield Kahan Pc — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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