Active NPI 1144612508 Individual Practitioner Female Practitioner

Rebecca S Waggoner , NP

Nurse Practitioner • Tyler, TX

✓ Accepts Medicare Assignment

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Rebecca Waggoner, NP is a registered Nurse Practitioner practitioner in Tyler, TX. With approximately 12 years of clinical practice since graduating from University Of South Alabama College Of Medicine in 2014, Rebecca Waggoner provides healthcare services at the registered practice location at 703 S FLEISHEL AVE STE 5000.

Rebecca Waggoner is affiliated with Christus Trinity Clinic and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, routine ekg using at least 12 leads including interpretation and report, subsequent hospital care with moderate levelof medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

703 S Fleishel Ave Ste 5000

Tyler, TX 757012015

Telephone 9036066139

Associated Practice Facility / Clinic

🏢 Christus Trinity Clinic Facility NPI 1285684225

Medicare Profile & Education

Medical School

University Of South Alabama College Of Medicine

Graduation Year

2014

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Tyler, TX

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

12 Yrs +2.3 yrs vs City Avg

City Avg: 9.7 Yrs

State Avg: 9.7 Yrs

Regional Practice Density

148 Specialists

Practicing in Tyler, TX (4894 Statewide)

Telehealth Adoption Rate

11.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

64.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Waggoner (12 Years) 12 Yrs

Tyler Specialty Average (9.7 Years) 9.7 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	156	147	$323.00	$108.62
93000 Routine ekg using at least 12 leads including interpretation and report	81	78	$65.00	$11.88
99213 Established patient office or other outpatient visit, typically 15 minutes	66	62	$218.00	$77.57
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	43	27	$196.05	$64.63
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	21	21	$68.00	$19.82
99335 Established patient assisted living visit, typically 25 minutes	17	17	$156.00	$87.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	299	243	$323.00	$111.23
93000 Routine ekg using at least 12 leads including interpretation and report	155	144	$65.00	$12.62
99213 Established patient office or other outpatient visit, typically 15 minutes	108	105	$218.00	$77.70
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	28	19	$195.57	$65.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	352	235	$266.97	$93.93
99442 Telephone medical discussion with physician, 11-20 minutes	74	51	$184.00	$64.84
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	45	45	$403.00	$139.76
99213 Established patient office or other outpatient visit, typically 15 minutes	39	30	$184.00	$64.18
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	35	35	$37.00	$13.01
99441 Telephone medical discussion with physician, 5-10 minutes	17	17	$111.00	$39.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	537	313	$266.00	$93.04
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	104	104	$403.00	$140.35
99213 Established patient office or other outpatient visit, typically 15 minutes	82	68	$182.00	$63.75
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	57	53	$21.00	$7.29
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	19	17	$178.00	$62.24
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	11	11	$496.00	$173.10
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	11	11	$37.00	$12.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	91	64	$174.19	$60.46
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	22	$257.00	$88.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	159	117	$189.15	$61.37
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	95	50	$174.05	$34.06
22614 Fusion of additional segment of spine	69	16	$251.72	$52.40
63048 Partial removal of spine bone with release of spinal cord and/or nerves	55	26	$152.21	$28.26
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	44	44	$279.66	$90.87
72084 X-ray of entire middle and lower spine, minimum of 6 views	41	41	$258.89	$68.76
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	37	32	$113.95	$34.69
22633 Fusion of spine in lower back with partial removal of spine bone and disc	29	29	$1103.60	$239.57
22214 Incision of spine to correct deformity at lower spinal column	29	29	$829.38	$96.54
22216 Incision or removal of spine bone segment, each additional segment	26	14	$257.45	$46.88
72110 X-ray of lower and sacral spine, minimum of 4 views	25	24	$123.53	$41.63
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	24	24	$679.34	$132.32
20937 Harvest of bone fragment for spine bone graft	24	24	$114.87	$21.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	23	$276.37	$90.67
22552 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, each additional disc	24	13	$238.62	$53.19
22634 Fusion of additional segment of spine with partial removal of spine bone and disc	21	14	$295.01	$63.30
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	21	21	$1033.93	$228.49
22840 Placement of stabilizing device to back of 1 spine bone in neck	17	17	$387.61	$101.79
72083 X-ray of entire middle and lower spine, 4-5 views	16	16	$218.94	$55.03
22842 Placement of stabilizing device to back, 3-6 spine bone segments	16	16	$396.27	$95.79
72100 X-ray of lower and sacral spine, 2-3 views	15	14	$90.76	$29.82
63030 Partial removal of bone with release of spinal cord or spinal nerves of 1 interspace in lower spine	15	15	$799.36	$106.46
72082 X-ray of entire middle and lower spine, 2-3 views	14	13	$200.76	$53.17
22845 Placement of stabilizing device to front, 2-3 spine bone segments	12	12	$375.35	$97.61
72050 X-ray of upper spine, 4 or 5 views	11	11	$122.41	$38.58

Medical Specialties & State Licenses

CMS Verified: 2025-06-17

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License TX 1004878

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Registered Nurse

NUCC Taxonomy Code: 163W00000X

State License WA RN60123376

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Nurse Practitioner - Acute Care

NUCC Taxonomy Code: 363LA2100X

State License WA AP60542393

Definition to come...

Hospital & Practice Group Affiliations

Christus Trinity Clinic

630 S Fleishel Ave, Tyler, TX 757012041

Phone: 9036065560

Christus Trinity Clinic

620 S Fleishel Ave, Tyler, TX 757012041

Phone: 9036064900

Christus Trinity Clinic

800 E Dawson St, Tyler, TX 757012036

Phone: 9035101186

Secondary Practice Locations

550 17th Ave Ste 680

Seattle, WA 981225795

Phone: 2068618550

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners

Julius Walker , AGACNP

Nurse Practitioner - Acute Care

NPI 1144769365

Adult-Gerontology Acute Care Nurse Practitioner

Amber Higgs , AGACNP-BC

Nurse Practitioner - Acute Care

NPI 1679354138

Adult-Gerontology Acute Care Nurse Practitioner (Board Certified)

James Hubbard , AGACNP-BC

Nurse Practitioner - Acute Care

NPI 1679404966

Adult-Gerontology Acute Care Nurse Practitioner (Board Certified)

Victoria Fleemin , PA-C

Physician Assistant

NPI 1689326274

Physician Assistant (Certified)

Anna Honeycutt , NURSE PRACTITIONER

Nurse Practitioner

NPI 1720769615

NURSEPRACTITIONER

Jill Roberts , APN

Nurse Practitioner - Acute Care

NPI 1851309173

Advanced Practice Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

22 Historical Events

📍

Updated Practice Location June 17, 2025

Registered at 703 S FLEISHEL AVE STE 5000, TYLER, TX 757012015 (Tel: 9036066139)

📍

Updated Practice Location August 25, 2023

Registered at 703 S FLEISHEL AVE STE 4000, TYLER, TX 757012015 (Tel: 9036067000)

📍

Updated Business Mailing Address August 25, 2023

Registered at PO BOX 846098, DALLAS, TX 752846098 (Tel: 9036066400)

👤

Provider Name / Credentials Updated August 25, 2023

Recorded as REBECCA WAGGONER, NP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 25, 2023

Registered Nurse (License #RN60123376 in WA)

📍

Updated Practice Location August 10, 2021

Registered at 550 17TH AVE STE 680, SEATTLE, WA 981225795 (Tel: 2068618550)

📍

Updated Business Mailing Address August 10, 2021

Registered at PO BOX 25608, SALT LAKE CITY, UT 841250608 (Tel: 2063204476)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 10, 2021

Nurse Practitioner (License #AP60542393 in WA)

📍

Updated Practice Location October 19, 2020

Registered at 1924 FOREST RIDGE DR, BEDFORD, TX 760218228 (Tel: 8175454550)

📍

Updated Business Mailing Address October 19, 2020

Registered at 1924 FOREST RIDGE DR, BEDFORD, TX 760218228 (Tel: 8175454550)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 19, 2020

Nurse Practitioner (License #1004878 in TX)

✅

NPI Profile Active February 08, 2018

NPI status registered as active in NPPES database

📍

Updated Business Mailing Address February 08, 2018

Registered at 500 LILLY RD NE, STE 100, OLYMPIA, WA 985065195 (Tel: 3607898767)

📍

Updated Practice Location February 08, 2018

Registered at 2505 55TH AVE SE, OLYMPIA, WA 985015007 (Tel: 3607898767)

👤

Provider Name / Credentials Updated February 08, 2018

Recorded as REBECCA WAGGONER, ARNP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 08, 2018

Nurse Practitioner (License #AP60542393 in WA)

✅

NPI Profile Active February 23, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location February 23, 2015

Registered at 2505 55TH AVE SE, OLYMPIA, WA 985015007 (Tel: 3607898767)

📍

Updated Business Mailing Address February 23, 2015

Registered at 2505 55TH AVE SE, OLYMPIA, WA 985015007 (Tel: 3607898767)

👤

Provider Name / Credentials Updated February 23, 2015

Recorded as REBECCA WAGGONER, ARNP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 23, 2015

Nurse Practitioner (License #AP60542393 in WA)

🟢

Initial NPI Registration & Enumeration February 23, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1144612508

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: February 23, 2015

Last Update: June 17, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 846098

Dallas, TX 752846098

Phone: 9036066400

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.