Royal Haven Medical
NPI 1740895911 · Primary Care Nurse Practitioner · Mansfield, TX
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Royal Haven Medical is a Primary Care Nurse Practitioner organization in Mansfield, TX (NPI 1740895911).
Provider details
- NPI number
- 1740895911
- Entity type
- Organization
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Paidamoyo Wagoneka, Owner(817) 400-0433
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2020-09-14
- Last updated
- 2025-06-10
- Certified
- 2025-06-10
Frequently asked questions
- What is Royal Haven Medical's NPI number?
- Royal Haven Medical's National Provider Identifier (NPI) is 1740895911, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Royal Haven Medical?
- Royal Haven Medical is classified in the NPPES registry as Primary Care Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Royal Haven Medical located?
- Royal Haven Medical's practice location on file with NPPES is 2384 Highway 287 N Ste 216, Mansfield, TX 76063-9207.
- What is Royal Haven Medical's phone number?
- The practice phone number listed in the NPPES registry for Royal Haven Medical is (817) 400-0433.
- Does Royal Haven Medical accept Medicare?
- Royal Haven Medical is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Royal Haven Medical?
- The authorized official listed on Royal Haven Medical's NPPES record is Paidamoyo Wagoneka, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Royal Haven Medical's NPI active?
- Yes — Royal Haven Medical's NPI (1740895911) is active in the NPPES registry as of the last update on 2025-06-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.