James Pickens, APRN FNP-C
NPI 1619539103ActiveIndividual· Nurse Practitioner, Family· Buffalo, TX
Nurse Practitioner, Family (APRN FNP-C) with Buffalo Family Practice PLLC, practicing in Buffalo, Texas. Their prescriptions cost Medicare Part D more than their services did: $249,059 for 3,777 claims, against $18,266 paid for services in 2024. Abbvie Inc. was the largest of 2 companies reporting payments in 2025, $152.19 in all, mostly food and beverage. Lists Freestone Medical Center and 2 other hospitals as hospital affiliations.
Overview
| NPI | 1619539103 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | APRN FNP-C |
| Sole proprietor | No |
| NPI issued | Jul 3, 2019 |
| Last updated in NPPES | Aug 26, 2025 |
| Certified by provider | Aug 26, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | F06191740 | 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 | 180 |
|---|---|
| Services billed | 903 across 28 procedure codes |
| Paid by Medicare | $18,266 |
Part D prescriptions in 2024
| Prescriptions (claims) | 3,777 · 7,841 30-day fills |
|---|---|
| Patients | 389 |
| Total drug cost | $249,059 |
| Generic share | 90% of claims |
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Buffalo Family Practice PLLCBuffalo, TX · 3 clinicians
Hospital affiliations
- Freestone Medical CenterFairfield, TX
- Palestine Regional Medical CenterPalestine, TX
- Parkview Regional HospitalMexia, TX
Other facilities
- Traditions HealthHome health agency · Madisonville, TX
Industry payments (Open Payments)
- 2025$152.19 · 7 payments from 2 companies
- 2024$103.47 · 5 payments from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Abbvie Inc. | $134.68 | 6 |
| Lilly USA, LLC | $17.51 | 1 |
What the 2025 payments were for
- Food and Beverage$152.19 · 7 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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