Scott John Wagner, CNOR RNFA

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1018610 Issued in TX

Practice address

3322 Colorado Blvd Ste 101
Denton, TX 76210-6889

Phone

(940) 387-7588

Fax

(940) 566-0881

NPI assigned

Jul 16, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Surgery Associates of NTX PLLCGroup PAC ID 7810219375, 50 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Medical City Denton Hospital, Denton, TX, CCN 450634
• The Heart Hospital Baylor Denton Hospital, Denton, TX, CCN 450893

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as individual

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: scott.wagner@hca7.eclinicaldirectplus.com

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

• Surgery Associates of NTX, PLLC

  • Surgery Physician
  • Denton, TX
  • NPI 1134522691
  Medicare reassignment Care Compare group NPD
• Surgery Associates of North Texas P a

  • Vascular Surgery Physician
  • Denton, TX
  • NPI 1255355715
  NPD

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

• Columbia Medical Center of Denton Subsidiary LP

  • General Acute Care Hospital
  • Denton, TX
  • NPI 1306897277
  Care Compare affiliation
• Thhbp Management Company LLC

  • General Acute Care Hospital
  • Denton, TX
  • NPI 1194753590
  Care Compare affiliation

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

{
    "created_epoch": "1184544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606694400000",
    "number": "1841499258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3322 COLORADO BLVD STE 101",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762106889",
            "telephone_number": "940-387-7588",
            "fax_number": "940-566-0881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3322 COLORADO BLVD STE 101",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762106889",
            "telephone_number": "940-387-7588",
            "fax_number": "940-566-0881"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3537 S I-35 E",
            "address_2": "SUITE 305",
            "address_purpose": "LOCATION",
            "city": "Denton",
            "state": "TX",
            "postal_code": "762106800",
            "country_code": "US",
            "telephone_number": "940-387-7588",
            "fax_number": "940-566-0881",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "SCOTT",
        "middle_name": "JOHN",
        "credential": "CNOR RNFA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-16",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "TX",
            "license": "695886",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1018610",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN",
            "identifier": "695886",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sangeetha R Vulichi, MD
• Meena Vyas, M.D.
• Erin Colleen Wade
• Jessica Leigh Wade, MED
• Mara Wagner
• Tamara D Wagner, OTR
• Kevin Richard Wah, OD
• Inayatullah Wahdatyar, D.O.
• Charles Hancock Wahlert, M.D.
• Wal-Mart Stores Texas LLC

• Family Nurse Practitioner in Denton, TX
• Providers in Denton, 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 Nov 30, 2020; 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.