WAGONER LLC
NPI 1073163713
Audiologist-Hearing Aid Fitter in Alexandria, VA

Q: What is Wagoner LLC's NPI number?

The NPI number for Wagoner LLC is 1073163713. It was assigned to this organization in the NPPES registry on September 15, 2019. The provider is doing business as Alexandria Audiology.

Q: What is Wagoner LLC's specialty?

The primary specialty registered for this NPI is Audiologist-Hearing Aid Fitter with taxonomy code 237600000X.

Q: When was this NPI record last updated?

The NPPES record for Wagoner LLC was last updated on September 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.

Active since September 15, 2019

4660 KENMORE AVE STE 409, ALEXANDRIA, VA 22304(703) 823-3336(703) 823-4684 Get Directions Write a Review

NPPES record last updated: September 15, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Wagoner Llc NPPES

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

WAGONER LLC (NPI 1073163713), doing business as Alexandria Audiology, is a healthcare organization registered as an audiologist-hearing aid fitter in Alexandria, Virginia and active in the NPI registry since September 2019. The organization lists Julie K Wagoner, Owner/aud, as its authorized official.

NPPES Registry Identity

NPI1073163713

Entity TypeOrganization

Primary Taxonomy237600000X

Legal Business NameWAGONER LLC

Location Address4660 KENMORE AVE STE 409Alexandria, VA 22304-1306

Mailing Address4660 Kenmore Ave Ste 409Alexandria, VA 22304-1306 · (703) 823-3336 · Fax (703) 823-4684

Phone(703) 823-3336

Fax(703) 823-4684

Organization SubpartNo

Authorized OfficialJulie K WagonerOwner/aud · (703) 823-3336

Enumeration DateSeptember 15, 2019

✔ NPI 1073163713 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAudiologist-Hearing Aid FitterSpeech, Language and Hearing Service Providers

Taxonomy Code237600000X

Definition

An audiologist/hearing aid fitter is the professional who specializes in evaluating and treating people with hearing loss, conducts a wide variety of tests to determine the exact nature of an individual's hearing problem, presents a variety of treatment options to patients, dispenses and fits hearing aids, administers tests of balance to evaluate dizziness and provides hearing rehabilitation training. This classification should be used where individuals are licensed as audiologist-hearing aid fitters as opposed to states that license individuals as audiologists.

4660 KENMORE AVE STE 409, Alexandria, VA 22304

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Other Names 1

Doing Business AsAlexandria Audiology

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wagoner Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Wagoner LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Julie Wagoner, AUD

Qualified Audiologist

NPI 1740565845

4660 KENMORE AVE STE 409
Alexandria, VA 22304

(703) 823-3336

✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Wagoner LLC's NPI number?

The NPI number for Wagoner LLC is 1073163713. It was assigned to this organization in the NPPES registry on September 15, 2019. The provider is doing business as Alexandria Audiology.

Where is Wagoner LLC located?

Wagoner LLC is located at 4660 Kenmore Ave Ste 409, Alexandria, VA 22304. The listed phone number is (703) 823-3336.

What is Wagoner LLC's specialty?

The primary specialty registered for this NPI is Audiologist-Hearing Aid Fitter with taxonomy code 237600000X.

Is Wagoner LLC enrolled in Medicare?

Yes. Wagoner LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Wagoner LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Qualified Audiologist) reassigns their Medicare billing to Wagoner LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Wagoner LLC was last updated on September 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.