Amanda Bagwell, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1054516 Issued in TX

Practice address

500 N Highland Ave
Sherman, TX 75092-7354

Phone

(903) 870-2094

NPI assigned

Aug 25, 2021

Last updated

May 9, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sherman MD Provider IncGroup PAC ID 5193049591, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Texoma Medical Center Hospital, Denison, TX, CCN 450324
• Wilson N Jones Regional Medical Center Hospital, Sherman, TX, CCN 450469

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: amandabagwell@wnjrmc.allscriptsdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sherman MD Provider Inc

  dba WNJ WellCare Medical Group

  • Family Medicine Physician
  • Sherman, TX
  • NPI 1841696846
  Medicare reassignment Care Compare group NPD
• Bagwell Family Medicine P.L.L.C.

  • Family Medicine Physician
  • Kingston, OK
  • NPI 1457212730
  NPD Authorized official
• Sherman Grayson Hospital LLC

  dba Wilson N. Jones Regional Medical Center

  • General Acute Care Hospital
  • Sherman, TX
  • NPI 1013957836
  NPD
• Sherman MD Provider Inc

  dba Texas Medical Group SJMC

  • Specialist
  • Houston, TX
  • NPI 1669367256
  NPD
• Cornerstone Wound LLC

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1124881917
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ahs Sherman LLC

  • General Acute Care Hospital
  • Sherman, TX
  • NPI 1598545345
  Care Compare affiliation
• Uhs of Texoma, Inc

  dba Texoma Medical Center

  • General Acute Care Hospital
  • Denison, TX
  • NPI 1851390967
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1629849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652054400000",
    "number": "1235806589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 N HIGHLAND AVE",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750927354",
            "telephone_number": "903-870-2094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N HIGHLAND AVE",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750927354",
            "telephone_number": "903-870-2094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAGWELL",
        "first_name": "AMANDA",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-25",
        "last_updated": "2022-05-09",
        "certification_date": "2022-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "OK",
            "license": "R0129251",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1054516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Avalon Diagnostics LLC
• Avalon Home Health Inc (Always Better Care Hospice)
• Avalon Home Health, Inc. (Always Better Care Home Health)
• Brandy Axton
• Ashlee Bacher
• Sara Bahmanyar, DDS, MD
• Kristyn Bailey, CCC-SLP
• Abdul Abu Baker, MD
• Chyenne Baker, PT, DPT
• Taylor Clark Baldwin, DPT

• Family Nurse Practitioner in Sherman, TX
• Providers in Sherman, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.