James Lucas Wagoner, MSN, APRN, FNP-C
NPI 1104470988ActiveIndividual· Nurse Practitioner, Family· Nacogdoches, TX
Nurse Practitioner, Family (MSN, APRN, FNP-C) with Wagoner Health Clinic PLLC, practicing in Nacogdoches, Texas. Their prescriptions cost Medicare Part D more than their services did: $52,948 for 750 claims, against $12,314 paid for services in 2024. Astrazeneca Pharmaceuticals LP was the largest of 8 companies reporting payments in 2025, $326.58 in all, mostly food and beverage. Lists Nacogdoches Medical Center and 2 other hospitals as hospital affiliations.
Overview
| NPI | 1104470988 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MSN, APRN, FNP-C |
| Sole proprietor | No |
| NPI issued | Jul 30, 2019 |
| Last updated in NPPES | Jan 19, 2023 |
| Certified by provider | Jan 19, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | AP142434 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 60 |
|---|---|
| Services billed | 336 across 27 procedure codes |
| Paid by Medicare | $12,314 |
Part D prescriptions in 2024
| Prescriptions (claims) | 750 · 1,480 30-day fills |
|---|---|
| Patients | 65 |
| Total drug cost | $52,948 |
| Generic share | 91% of claims |
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Wagoner Health Clinic PLLCNacogdoches, TX · 2 clinicians
Hospital affiliations
- Nacogdoches Medical CenterNacogdoches, TX
- Nacogdoches Memorial HospitalNacogdoches, TX
- Woodland Heights Medical CenterLufkin, TX
Other facilities
- A Pineywoods Home Health Care IncHome health agency · Lufkin, TX
Industry payments (Open Payments)
- 2025$326.58 · 12 payments from 8 companies
- 2024$527.79 · 20 payments from 6 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Astrazeneca Pharmaceuticals LP | $158.49 | 3 |
| Exact Sciences Corporation | $36.54 | 2 |
| Abbvie Inc. | $30.56 | 2 |
| Hologic Sales and Service, LLC | $24.22 | 1 |
| Dexcom, Inc. | $21.07 | 1 |
What the 2025 payments were for
- Food and Beverage$326.58 · 12 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 56 family nurse practitioners in Nacogdoches · All family nurse practitioners in Texas