SHAENA VICTORIA WAGGONER FNP
NPI 1013753904
Nurse Practitioner - Family in North Augusta, SC

Active since July 01, 2024PECOS EnrolledAccepts Medicare Assignment
140 ALLEN CT, NORTH AUGUSTA, SC 29860(803) 510-0007 Get Directions Write a Review

NPPES record last updated: October 16, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 9, 2024, Aug 16, 2024, Jul 1, 2024 (3 updates tracked since 2024).

About Shaena Victoria Waggoner Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHAENA VICTORIA WAGGONER FNP (NPI 1013753904) is an individual family provider in North Augusta, South Carolina, licensed in South Carolina (31005) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1013753904
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSHAENA VICTORIA WAGGONERCredential: FNP
Location Address140 ALLEN CTNorth Augusta, SC 29860-9782
Mailing Address140 Allen CtNorth Augusta, SC 29860-9782 · (803) 510-0007
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateJuly 1, 2024
Last NPPES UpdateOctober 16, 20253 updates tracked since enumeration
NPPES CertifiedOctober 16, 2025
NPI 1013753904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses Licensed in SC · 31005 Licensed in GA · GAA-NP002533
Also ListedRegistered NurseTaxonomy 163W00000X · License 293656 (NC)
140 ALLEN CT, North Augusta, SC 29860

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Shaena Victoria Waggoner Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4486187168
PECOS Enrollment IDI20241102000334
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29860 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
140 ALLEN CT
NORTH AUGUSTA, SC 29860
Clinic/Center (Rural Health)
140 ALLEN CT
NORTH AUGUSTA, SC 29860
Nurse Practitioner (Pediatrics)
140 ALLEN CT
NORTH AUGUSTA, SC 29860
Pediatrics
140 ALLEN CT
NORTH AUGUSTA, SC 29860
Registered Nurse
140 ALLEN CT
NORTH AUGUSTA, SC 29860
Nurse Practitioner (Pediatrics)
140 ALLEN CT
NORTH AUGUSTA, SC 29860
Nurse Practitioner (Pediatrics)
140 ALLEN CT
NORTH AUGUSTA, SC 29860
Physician Assistant
140 ALLEN CT
NORTH AUGUSTA, SC 29860

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shaena Waggoner's NPI number?

The NPI number for Shaena Waggoner is 1013753904. It was assigned to this individual provider in the NPPES registry on July 1, 2024.

Where is Shaena Waggoner located?

Shaena Waggoner practices at 140 Allen Ct, North Augusta, SC 29860. The listed phone number is (803) 510-0007.

What is Shaena Waggoner's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Shaena Waggoner enrolled in Medicare?

Yes. Shaena Waggoner is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Shaena Waggoner accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Shaena Waggoner as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shaena Waggoner was last updated on October 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.