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MRS. KRISTEN J WAGGONER PA
NPI 1174827190
Physician Assistant in Fair Oaks, CA

Active since January 05, 2011PECOS EnrolledAccepts Medicare Assignment
4944 SUNRISE BLVD STE H, FAIR OAKS, CA 95628(916) 966-8158(916) 966-8118 Get Directions Write a Review

NPPES record last updated: November 4, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Kristen J Waggoner Pa NPPES

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

MRS. KRISTEN J WAGGONER PA (NPI 1174827190) is an individual physician assistant in Fair Oaks, California, licensed in California (20275) and active in the NPI registry since January 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1174827190
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. KRISTEN J WAGGONERCredential: PA
Location Address4944 SUNRISE BLVD STE HFair Oaks, CA 95628-4941
Mailing Address4944 Sunrise Blvd, Suite HFair Oaks, CA 95628-4941 · (916) 966-8158 · Fax (916) 966-8118
Phone(916) 966-8158
Fax(916) 966-8118
Sole ProprietorYes
Medical School CMSOtherGraduated 2008
Enumeration DateJanuary 5, 2011
Last NPPES UpdateNovember 4, 2014
✔ NPI 1174827190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · 20275
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
4944 SUNRISE BLVD STE H, Fair Oaks, CA 95628
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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

Mrs. Kristen J Waggoner Pa 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 ID4587886528
PECOS Enrollment IDI20141107000019
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.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
108 services98 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
48 services48 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
47 services47 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
24 services24 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
24 services23 patients
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880
A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.
12 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95628 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
$92.61 typical visit price
range $60.44 – $180.85
Typical copayment $23.15 (range $15.11 – $45.21)
Most-billed visit code 99203
Established Patient
$75.03 typical visit price
range $19.88 – $148.15
Typical copayment $18.75 (range $4.97 – $37.03)
Most-billed visit code 99213
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 2

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

ISHTLEEN K.BHATIA,M.D., INC.
Internal Medicine
4944 SUNRISE BLVD STE H
FAIR OAKS, CA 95628
Sacramento County (916) 966-8158
DR. KEVIN DEL FUJIKAWA M.D.
Family Medicine
4944 SUNRISE BLVD STE H
FAIR OAKS, CA 95628
Sacramento County (916) 966-8158

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 Kristen Waggoner's NPI number?

The NPI number for Kristen Waggoner is 1174827190. It was assigned to this individual provider in the NPPES registry on January 5, 2011.

Where is Kristen Waggoner located?

Kristen Waggoner practices at 4944 Sunrise Blvd Ste H, Fair Oaks, CA 95628. The listed phone number is (916) 966-8158.

What is Kristen Waggoner's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kristen Waggoner enrolled in Medicare?

Yes. Kristen 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.

When was this NPI record last updated?

The NPPES record for Kristen Waggoner was last updated on November 4, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.