Wagoner Health Clinic, PLLC
NPI 1396454484 · Primary Care Nurse Practitioner · Nacogdoches, TX
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Wagoner Health Clinic, PLLC is a Primary Care Nurse Practitioner organization in Nacogdoches, TX (NPI 1396454484).
Provider details
- NPI number
- 1396454484
- Entity type
- Organization
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Rebekah Wagoner, Managing Member(936) 715-5353
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
3 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
Other names (DBA / former)
- Doing business as
- Wagoner Family Health Clinic
- Doing business as
- Wagoner Family Health Clinic
Registry dates
- Enumerated
- 2022-11-17
- Last updated
- 2022-12-19
- Certified
- 2022-12-19
Frequently asked questions
- What is Wagoner Health Clinic, PLLC's NPI number?
- Wagoner Health Clinic, PLLC's National Provider Identifier (NPI) is 1396454484, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Wagoner Health Clinic, PLLC?
- Wagoner Health Clinic, PLLC is classified in the NPPES registry as Primary Care Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Wagoner Health Clinic, PLLC located?
- Wagoner Health Clinic, PLLC's practice location on file with NPPES is 1023 N Mound St Ste E, Nacogdoches, TX 75961-4453.
- What is Wagoner Health Clinic, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Wagoner Health Clinic, PLLC is (936) 305-4130.
- Does Wagoner Health Clinic, PLLC accept Medicare?
- Wagoner Health Clinic, PLLC 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 Wagoner Health Clinic, PLLC?
- The authorized official listed on Wagoner Health Clinic, PLLC's NPPES record is Rebekah Wagoner, Managing Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Wagoner Health Clinic, PLLC's NPI active?
- Yes — Wagoner Health Clinic, PLLC's NPI (1396454484) is active in the NPPES registry as of the last update on 2022-12-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.