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WAGGONER PEDIATRICS OF CENTRAL IOWA
NPI 1225572548
Pediatrics in Clive, IA

Active since December 05, 2016CLIA 16D0997905 · Certificate of Compliance
2555 BERKSHIRE PKWY STE A, CLIVE, IA 50325(515) 987-0051(515) 987-0054 Get Directions Write a Review

NPPES record last updated: May 8, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Waggoner Pediatrics Of Central Iowa NPPES

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

WAGGONER PEDIATRICS OF CENTRAL IOWA (NPI 1225572548) is a healthcare organization registered as a pediatrics in Clive, Iowa and active in the NPI registry since December 2016. The organization holds a CLIA Certificate of Compliance certificate valid through October 8, 2026 and lists Julie A Waggoner, Arnp, as its authorized official.

NPPES Registry Identity

NPI1225572548
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameWAGGONER PEDIATRICS, PLC
Location Address2555 BERKSHIRE PKWY STE AClive, IA 50325-4646
Mailing Address2555 Berkshire Pkwy Ste AClive, IA 50325-4646 · (515) 987-0051 · Fax (515) 987-0054
Phone(515) 987-0051
Fax(515) 987-0054
Organization SubpartNo
Authorized OfficialJulie A WaggonerArnp · (515) 987-0051
Enumeration DateDecember 5, 2016
Last NPPES UpdateMay 8, 2017
✔ NPI 1225572548 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in IA · 28129
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
2555 BERKSHIRE PKWY STE A, Clive, IA 50325
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Other Names 1

Doing Business AsWaggoner Pediatrics Of Central Iowa

Other Identifiers 1

Other1679544548IA · Npi

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 16D0997905

Waggoner Pediatrics Of Central Iowa · Clive, IA
Active · expires Oct 8, 2026
CLIA Number16D0997905
Laboratory TypePhysician Office
Certificate Effective DateOctober 9, 2024
Certificate Expiration DateOctober 8, 2026
Laboratory DirectorDr. Brian L. Waggoner
Laboratory Phone(515) 987-0051
Laboratory LocationWaggoner Pediatrics Of Central Iowa2555 Berkshire Parkway Suite A, Clive, IA 50325
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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.

MS. ANDREA G DETTMANN-SPURGEON CPNP, ARNP
Nurse Practitioner (Pediatrics)
2555 BERKSHIRE PKWY STE A
CLIVE, IA 50325
Polk County (515) 987-0051
DR. BRIAN LEO WAGGONER M.D.
Pediatrics
2555 BERKSHIRE PKWY STE A
CLIVE, IA 50325
Polk County (515) 987-0051

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 Waggoner Pediatrics, Plc's NPI number?

The NPI number for Waggoner Pediatrics, Plc is 1225572548. It was assigned to this organization in the NPPES registry on December 5, 2016. The provider is doing business as Waggoner Pediatrics Of Central Iowa.

Where is Waggoner Pediatrics, Plc located?

Waggoner Pediatrics, Plc is located at 2555 Berkshire Pkwy Ste A, Clive, IA 50325. The listed phone number is (515) 987-0051.

What is Waggoner Pediatrics, Plc's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Waggoner Pediatrics, Plc hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 16D0997905) is associated with this NPI, valid through October 8, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Waggoner Pediatrics, Plc accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 1 other insurer list Waggoner Pediatrics, Plc 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 Waggoner Pediatrics, Plc was last updated on May 8, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.