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JAMES M SUTTON APRN
Accepted Insurance for NPI 1356995708
Nurse Practitioner - Family in Waxahachie, TX

Active since July 24, 2019PECOS EnrolledAccepts Medicare Assignment
905 FERRIS AVE, WAXAHACHIE, TX 75165(972) 937-0086(972) 923-2351 Get Directions

NPPES record last updated: October 7, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 7, 2025, Aug 13, 2024, Apr 13, 2022 and 1 more (4 updates tracked since 2019).

Accepted Insurance & Health Plans Health Insurance Marketplace

Marketplace plan participation on file for this provider · 2026 plan year

JAMES M SUTTON APRN, a nurse practitioner provider in Waxahachie, TX, is listed as in-network for 151 health insurance plans from 7 insurance companies, led by Ambetter from Arkansas Health & Wellness, Ambetter Health and Ambetter of Oklahoma. This list is compiled from the CMS Health Insurance Marketplace public use files for the 2026 plan year.

Verify before you schedule: insurance networks change throughout the plan year. Confirm coverage directly with your insurance company or this practice’s billing office before booking an appointment.
7
Insurance Companies
151
Plan Options
4
Network Types
Ambetter from Arkansas Health & Wellness
Largest Network · 31 plans
View plans
133 plans · 151 plan IDs · 2026 plan year

Ambetter Health

20 plans · Individual market · listed as Preferred

Clarity Silver

SilverHMOFlorida
Plan ID49004FL0010031

Complete Gold + Vision + Adult Dental

GoldHMOFlorida
Plan IDs49004FL002001049004FL0020021

Complete Gold

GoldHMOFlorida
Plan IDs49004FL001001149004FL0010025

Elite Bronze + Vision + Adult Dental

BronzeHMOFlorida
Plan IDs49004FL002000449004FL0020015

Elite Bronze

BronzeHMOFlorida
Plan IDs49004FL001000449004FL0010017

Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental

SilverHMOFlorida
Plan IDs49004FL002000849004FL0020020

Enhanced Diabetes Care Silver with $0 Drug Options

SilverHMOFlorida
Plan IDs49004FL001000949004FL0010023

Everyday Bronze + Vision + Adult Dental

BronzeHMOFlorida
Plan IDs49004FL002000249004FL0020013

Everyday Bronze

BronzeHMOFlorida
Plan IDs49004FL001000249004FL0010015

Everyday Gold + Vision + Adult Dental

GoldHMOFlorida
Plan IDs49004FL002000949004FL0020022

Everyday Gold

GoldHMOFlorida
Plan IDs49004FL001001049004FL0010026

Focused Silver + Vision + Adult Dental

SilverHMOFlorida
Plan IDs49004FL002000649004FL0020018

Focused Silver

SilverHMOFlorida
Plan IDs49004FL001000749004FL0010021

Standard Expanded Bronze + Vision + Adult Dental

BronzeHMOFlorida
Plan IDs49004FL002000149004FL0020016

Standard Expanded Bronze

BronzeHMOFlorida
Plan IDs49004FL001000149004FL0010018

Standard Gold + Vision + Adult Dental

GoldHMOFlorida
Plan IDs49004FL002001249004FL0020024

Standard Gold

GoldHMOFlorida
Plan IDs49004FL001001349004FL0010028

Standard Silver + Vision + Adult Dental

SilverHMOFlorida
Plan IDs49004FL002002749004FL0020028

Standard Silver

SilverHMOFlorida
Plan IDs49004FL001000649004FL0010024

Thrive Silver

SilverHMOFlorida
Plan ID49004FL0010032

Ambetter from Arizona Complete Health

16 plans · Individual market · listed as Preferred

Choice Bronze HSA + Vision + Adult Dental

BronzeHMOArizona
Plan ID91450AZ0180037

Choice Bronze HSA

BronzeHMOArizona
Plan ID91450AZ0080037

Complete Gold + Vision + Adult Dental

GoldHMOArizona
Plan ID91450AZ0180059

Complete Gold

GoldHMOArizona
Plan ID91450AZ0080059

Complete Silver + Vision + Adult Dental

SilverHMOArizona
Plan ID91450AZ0180044

Complete Silver

SilverHMOArizona
Plan ID91450AZ0080044

Elite Gold + Vision + Adult Dental

GoldHMOArizona
Plan ID91450AZ0180113

Elite Gold

GoldHMOArizona
Plan ID91450AZ0080113

Everyday Bronze + Vision + Adult Dental

BronzeHMOArizona
Plan ID91450AZ0180119

Everyday Bronze

BronzeHMOArizona
Plan ID91450AZ0080119

Standard Expanded Bronze + Vision + Adult Dental

BronzeHMOArizona
Plan ID91450AZ0180104

Standard Expanded Bronze

BronzeHMOArizona
Plan ID91450AZ0080122

Standard Gold + Vision + Adult Dental

GoldHMOArizona
Plan ID91450AZ0180106

Standard Gold

GoldHMOArizona
Plan ID91450AZ0080124

Standard Silver + Vision + Adult Dental

SilverHMOArizona
Plan ID91450AZ0180105

Standard Silver

SilverHMOArizona
Plan ID91450AZ0080123

Ambetter from Arkansas Health & Wellness

31 plans · Individual market · listed as Preferred

Choice Bronze HSA (QualChoice)

BronzePOSArkansas
Plan ID70525AR0070285

Complete Gold + Vision + Adult Dental

GoldPPOArkansas
Plan ID62141AR0100014

Complete Gold

GoldPPOArkansas
Plan ID62141AR0080014

Connected Silver (QualChoice) + Vision + Adult Dental

SilverPOSArkansas
Plan ID70525AR0210001

Connected Silver (QualChoice)

SilverPOSArkansas
Plan ID70525AR0070261

Connected Silver (QualChoiceLife) + Vision + Adult Dental

SilverPPOArkansas
Plan ID37903AR0160003

Connected Silver (QualChoiceLife)

SilverPPOArkansas
Plan ID37903AR0070025

Connected Silver + Vision + Adult Dental

SilverPPOArkansas
Plan ID62141AR0100007

Connected Silver

SilverPPOArkansas
Plan ID62141AR0080007

Elite Bronze + Vision + Adult Dental

BronzePPOArkansas
Plan ID62141AR0100026

Elite Bronze

BronzePPOArkansas
Plan ID62141AR0080026

Elite Gold (QualChoice) + Vision + Adult Dental

GoldPOSArkansas
Plan ID70525AR0210002

Elite Gold (QualChoice)

GoldPOSArkansas
Plan ID70525AR0070268

Elite Gold (QualChoiceLife) + Vision + Adult Dental

GoldPPOArkansas
Plan ID37903AR0160002

Elite Gold (QualChoiceLife)

GoldPPOArkansas
Plan ID37903AR0070031

Everyday Bronze + Vision + Adult Dental

BronzePPOArkansas
Plan ID62141AR0100017

Everyday Bronze

BronzePPOArkansas
Plan ID62141AR0080017

Standard Expanded Bronze (QualChoice)

BronzePOSArkansas
Plan ID70525AR0070287

Standard Expanded Bronze + Vision + Adult Dental

BronzePPOArkansas
Plan ID62141AR0100033

Standard Expanded Bronze

BronzePPOArkansas
Plan ID62141AR0080032

Standard Gold (QualChoice) + Vision + Adult Dental

GoldPOSArkansas
Plan ID70525AR0210003

Standard Gold (QualChoice)

GoldPOSArkansas
Plan ID70525AR0070289

Standard Gold (QualChoiceLife) + Vision + Adult Dental

GoldPPOArkansas
Plan ID37903AR0160001

Standard Gold (QualChoiceLife)

GoldPPOArkansas
Plan ID37903AR0070034

Standard Gold + Vision + Adult Dental

GoldPPOArkansas
Plan ID62141AR0100035

Standard Gold

GoldPPOArkansas
Plan ID62141AR0080034

Standard Silver (QualChoice) + Vision + Adult Dental

SilverPOSArkansas
Plan ID70525AR0210005

Standard Silver (QualChoice)

SilverPOSArkansas
Plan ID70525AR0070288

Standard Silver (QualChoiceLife)

SilverPPOArkansas
Plan ID37903AR0070033

Standard Silver + Vision + Adult Dental

SilverPPOArkansas
Plan ID62141AR0100034

Standard Silver

SilverPPOArkansas
Plan ID62141AR0080033

Ambetter from Louisiana Healthcare Connections

16 plans · Individual market · listed as Preferred

Complete Gold + Vision + Adult Dental

GoldEPOLouisiana
Plan ID90787LA0020005

Complete Gold

GoldEPOLouisiana
Plan ID90787LA0010006

Elite Bronze + Vision + Adult Dental

BronzeEPOLouisiana
Plan ID90787LA0020002

Elite Bronze

BronzeEPOLouisiana
Plan ID90787LA0010002

Elite Gold + Vision + Adult Dental

GoldEPOLouisiana
Plan ID90787LA0020008

Elite Gold

GoldEPOLouisiana
Plan ID90787LA0010008

Everyday Bronze + Vision + Adult Dental

BronzeEPOLouisiana
Plan ID90787LA0020001

Everyday Bronze

BronzeEPOLouisiana
Plan ID90787LA0010001

Focused Silver + Vision + Adult Dental

SilverEPOLouisiana
Plan ID90787LA0020004

Focused Silver

SilverEPOLouisiana
Plan ID90787LA0010005

Standard Expanded Bronze + Vision + Adult Dental

BronzeEPOLouisiana
Plan ID90787LA0020009

Standard Expanded Bronze

BronzeEPOLouisiana
Plan ID90787LA0010009

Standard Gold + Vision + Adult Dental

GoldEPOLouisiana
Plan ID90787LA0020011

Standard Gold

GoldEPOLouisiana
Plan ID90787LA0010011

Standard Silver + Vision + Adult Dental

SilverEPOLouisiana
Plan ID90787LA0020014

Standard Silver

SilverEPOLouisiana
Plan ID90787LA0010010

Ambetter from Superior HealthPlan

12 plans · Individual market · listed as Preferred

Complete Gold + Vision + Adult Dental

GoldEPO
Plan ID29418TX0160020

Complete Gold

GoldEPO
Plan ID29418TX0140064

Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental

SilverEPO
Plan ID29418TX0160053

Enhanced Diabetes Care Silver with $0 Drug Options

SilverEPO
Plan ID29418TX0140049

Everyday Gold + Vision + Adult Dental

GoldEPO
Plan ID29418TX0160102

Everyday Gold

GoldEPO
Plan ID29418TX0140102

Focused Silver + Vision + Adult Dental

SilverEPO
Plan ID29418TX0160100

Focused Silver

SilverEPO
Plan ID29418TX0140100

Standard Gold + Vision + Adult Dental

GoldEPO
Plan ID29418TX0160052

Standard Gold

GoldEPO
Plan ID29418TX0140109

Standard Silver + Vision + Adult Dental

SilverEPO
Plan ID29418TX0160054

Standard Silver

SilverEPO
Plan ID29418TX0140108

Ambetter of Alabama

18 plans · Individual market · listed as Preferred

Complete Gold + Vision + Adult Dental

GoldEPOAlabama
Plan ID53932AL0110010

Complete Gold

GoldEPOAlabama
Plan ID53932AL0100015

Elite Bronze + Vision + Adult Dental

BronzeEPOAlabama
Plan ID53932AL0110014

Elite Bronze

BronzeEPOAlabama
Plan ID53932AL0100014

Elite Gold + Vision + Adult Dental

GoldEPOAlabama
Plan ID53932AL0110015

Elite Gold

GoldEPOAlabama
Plan ID53932AL0100016

Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental

SilverEPOAlabama
Plan ID53932AL0110018

Enhanced Diabetes Care Silver with $0 Drug Options

SilverEPOAlabama
Plan ID53932AL0100018

Everyday Bronze + Vision + Adult Dental

BronzeEPOAlabama
Plan ID53932AL0110003

Everyday Bronze

BronzeEPOAlabama
Plan ID53932AL0100003

Focused Silver + Vision + Adult Dental

SilverEPOAlabama
Plan ID53932AL0110005

Focused Silver

SilverEPOAlabama
Plan ID53932AL0100005

Standard Expanded Bronze + Vision + Adult Dental

BronzeEPOAlabama
Plan ID53932AL0110011

Standard Expanded Bronze

BronzeEPOAlabama
Plan ID53932AL0100011

Standard Gold + Vision + Adult Dental

GoldEPOAlabama
Plan ID53932AL0110013

Standard Gold

GoldEPOAlabama
Plan ID53932AL0100013

Standard Silver + Vision + Adult Dental

SilverEPOAlabama
Plan ID53932AL0110017

Standard Silver

SilverEPOAlabama
Plan ID53932AL0100012

Ambetter of Oklahoma

20 plans · Individual market · listed as Preferred

Elite Bronze + Vision + Adult Dental

BronzePPOOklahoma
Plan ID62505OK0130006

Elite Bronze

BronzePPOOklahoma
Plan ID62505OK0120006

Elite Gold + Vision + Adult Dental

GoldPPOOklahoma
Plan ID62505OK0130017

Elite Gold

GoldPPOOklahoma
Plan ID62505OK0120016

Enhanced Asthma/COPD Care Silver with $0 Drug Options + Vision + Adult Dental

SilverPPOOklahoma
Plan ID62505OK0130023

Enhanced Asthma/COPD Care Silver with $0 Drug Options

SilverPPOOklahoma
Plan ID62505OK0120023

Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental

SilverPPOOklahoma
Plan ID62505OK0130024

Enhanced Diabetes Care Silver with $0 Drug Options

SilverPPOOklahoma
Plan ID62505OK0120024

Everyday Bronze + Vision + Adult Dental

BronzePPOOklahoma
Plan ID62505OK0130002

Everyday Bronze

BronzePPOOklahoma
Plan ID62505OK0120002

Everyday Gold + Vision + Adult Dental

GoldPPOOklahoma
Plan ID62505OK0130014

Everyday Gold

GoldPPOOklahoma
Plan ID62505OK0120014

Focused Silver + Vision + Adult Dental

SilverPPOOklahoma
Plan ID62505OK0130012

Focused Silver

SilverPPOOklahoma
Plan ID62505OK0120012

Standard Expanded Bronze + Vision + Adult Dental

BronzePPOOklahoma
Plan ID62505OK0130019

Standard Expanded Bronze

BronzePPOOklahoma
Plan ID62505OK0120019

Standard Gold + Vision + Adult Dental

GoldPPOOklahoma
Plan ID62505OK0130021

Standard Gold

GoldPPOOklahoma
Plan ID62505OK0120021

Standard Silver + Vision + Adult Dental

SilverPPOOklahoma
Plan ID62505OK0130025

Standard Silver

SilverPPOOklahoma
Plan ID62505OK0120020
No plans match your current filters. Clear filters to see the full list.

Coverage Questions FAQs

Common questions about this provider’s insurance participation, answered from the CMS Health Insurance Marketplace and Medicare enrollment files.

What insurance does JAMES M SUTTON APRN accept?

Marketplace files for the 2026 plan year list JAMES M SUTTON APRN as in-network for 151 plans from 7 insurance companies. The largest networks are Ambetter from Arkansas Health & Wellness (31 plans), Ambetter Health (20 plans), Ambetter of Oklahoma (20 plans), followed by 4 more companies. The full list above shows each plan's metal level, network type, and plan IDs.

Is JAMES M SUTTON APRN enrolled in Medicare?

Yes. CMS enrollment files show this provider accepts Medicare assignment, meaning they agree to accept the Medicare-approved amount as full payment for covered services. The provider is also enrolled in PECOS, which certifies them to order, refer, and prescribe for Medicare beneficiaries.

What network types does JAMES M SUTTON APRN participate in?

The accepted plans include 46 EPO plans, 41 PPO plans, 36 HMO plans and 10 POS plans. EPO (Exclusive Provider Organization) plans cover network providers only, generally without referral requirements. PPO (Preferred Provider Organization) plans cover out-of-network care at a higher cost and do not require referrals. HMO (Health Maintenance Organization) plans cover care from network providers and typically require a primary care referral for specialists. POS (Point of Service) plans combine HMO-style referrals with partial out-of-network coverage.

Where does this insurance data come from and how current is it?

Plan participation is compiled from the official CMS Health Insurance Marketplace public use files for the 2026 plan year and refreshed as CMS publishes updated files. Networks change during the year, so always verify coverage with the insurance company or the provider's office before scheduling care.