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MR. JAMES LUCAS WAGONER MSN, APRN, FNP-C
NPI 1104470988
Nurse Practitioner - Family in Nacogdoches, TX

Active since July 30, 2019PECOS EnrolledAccepts Medicare Assignment
1023 N MOUND ST STE E, NACOGDOCHES, TX 75961(936) 305-4130(936) 305-4127 Get Directions Write a Review

NPPES record last updated: January 19, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 19, 2023, Aug 9, 2019, Jul 30, 2019 (3 updates tracked since 2019).

About Mr. James Lucas Wagoner Msn, Aprn, Fnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JAMES LUCAS WAGONER MSN, APRN, FNP-C (NPI 1104470988) is an individual family provider in Nacogdoches, Texas, licensed in Texas (AP142434) and active in the NPI registry since July 2019. He is enrolled in Medicare PECOS, is affiliated with Woodland Heights Medical Center, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1104470988
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. JAMES LUCAS WAGONERCredential: MSN, APRN, FNP-C
Location Address1023 N MOUND ST STE ENacogdoches, TX 75961-4453
Mailing Address1023 N Mound St Ste ENacogdoches, TX 75961-4453 · (936) 305-4130 · Fax (936) 305-4127
Phone(936) 305-4130
Fax(936) 305-4127
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJuly 30, 2019
Last NPPES UpdateJanuary 19, 20233 updates tracked since enumeration
NPPES CertifiedJanuary 19, 2023
✔ NPI 1104470988 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TX · AP142434
1023 N MOUND ST STE E, Nacogdoches, TX 75961
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. James Lucas Wagoner Msn, Aprn, Fnp-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8022348333
PECOS Enrollment IDI20191001000082
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show James Wagoner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Wagoner Health Clinic, PLLC
Same address
Primary Care
1023 N MOUND ST STE E
Nacogdoches, TX 75961
  • Reassigned Medicare billing, Texas enrollment
  • 2 clinicians in this Medicare group
NPI 1396454484 (936) 305-4130

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
83 services35 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
39 services24 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
26 services17 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
15 services15 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Woodland Heights Medical Center

Acute Care Hospitals · Lufkin, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450484
Location505 South John Redditt DriveLufkin, TX 75904 · Angelina County
Emergency services Birthing friendly

Nacogdoches Memorial Hospital

Acute Care Hospitals · Nacogdoches, TX
1/5 CMS rating
OwnershipProprietary
CMS Certification Number450508
Location1204 Mound StNacogdoches, TX 75961 · Nacogdoches County
Emergency services Birthing friendly

Nacogdoches Medical Center

Acute Care Hospitals · Nacogdoches, TX
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number450656
Location4920 NE Stallings DriveNacogdoches, TX 75965 · Nacogdoches County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75961 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier17 claims17 services$43.35 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WAGONER HEALTH CLINIC, PLLC
Nurse Practitioner (Primary Care)
1023 N MOUND ST STE E
NACOGDOCHES, TX 75961
Nacogdoches County (936) 305-4130
MRS. REBEKAH MARIE WAGONER APRN, FNP-C
Nurse Practitioner (Family)
1023 N MOUND ST STE E
NACOGDOCHES, TX 75961
Nacogdoches County (936) 305-4130

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is James Wagoner's NPI number?

The NPI number for James Wagoner is 1104470988. It was assigned to this individual provider in the NPPES registry on July 30, 2019.

Where is James Wagoner located?

James Wagoner practices at 1023 N Mound St Ste E, Nacogdoches, TX 75961. The listed phone number is (936) 305-4130.

What is James Wagoner's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is James Wagoner enrolled in Medicare?

Yes. James Wagoner is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for James Wagoner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Wagoner reassigns Medicare benefits to Wagoner Health Clinic, PLLC (Nacogdoches, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for James Wagoner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Wagoner accept?

Health plans from Blue Cross and Blue Shield of Texas list James Wagoner as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is James Wagoner affiliated with any hospitals?

According to CMS data, James Wagoner is affiliated with Woodland Heights Medical Center, Nacogdoches Memorial Hospital and Nacogdoches Medical Center.

When was this NPI record last updated?

The NPPES record for James Wagoner was last updated on January 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.