STACEY ALETHEA WAGGONER APRN-CNP
NPI 1285008227
Nurse Practitioner in Oklahoma City, OK

Q: What is Stacey Waggoner's NPI number?

The NPI number for Stacey Waggoner is 1285008227. It was assigned to this individual provider in the NPPES registry on November 13, 2015. The provider is also known as Stacey Alethea Waggoner Aprn-Cnp.

Q: What is Stacey Waggoner's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Stacey Waggoner was last updated on January 9, 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 November 13, 2015PECOS Enrolled

6613 N MERIDIAN AVE, OKLAHOMA CITY, OK 73116(405) 603-8450 Get Directions Write a Review

NPPES record last updated: January 9, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 9, 2019, Oct 2, 2018, Nov 13, 2015 (3 updates tracked since 2015).

On this page

About Stacey Alethea Waggoner Aprn-cnp NPPES

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

STACEY ALETHEA WAGGONER APRN-CNP (NPI 1285008227) is an individual nurse practitioner in Oklahoma City, Oklahoma, licensed in Oklahoma (0083425) and active in the NPI registry since November 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285008227

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameSTACEY ALETHEA WAGGONERCredential: APRN-CNP

Location Address6613 N MERIDIAN AVEOklahoma City, OK 73116-1423

Mailing Address6613 N Meridian AveOklahoma City, OK 73116-1423 · (405) 603-8450 · Fax (405) 603-8454

Phone(405) 603-8450

Sole ProprietorNo

Enumeration DateNovember 13, 2015

Last NPPES UpdateJanuary 9, 20193 updates tracked since enumeration

✔ NPI 1285008227 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in OK · 0083425

Definition

(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.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 83425 (OK)

6613 N MERIDIAN AVE, Oklahoma City, OK 73116

Open in Google Maps ↗

Other Names 1

Former Name (1)Stacey Alethea Waggoner Aprn-cnp

Other Identifiers 1

Medicaid200626780AOK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, Mending Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stacey Alethea Waggoner Aprn-cnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Stacey Waggoner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Holloway Group Inc

Same address

Multi-Specialty

6613 N. MERIDIAN AVENUE
Oklahoma City, OK 73116

Reassigned Medicare billing, Oklahoma enrollment
8 clinicians in this Medicare group

NPI 1497848147 (405) 603-8450

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

Areas of Expertise CMS Part B claims

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.

35 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73116 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

$82.46 typical visit price

range $53.00 – $162.61

Typical copayment $20.61 (range $13.25 – $40.65)

Most-billed visit code 99203

Established Patient

$94.27 typical visit price

range $16.68 – $132.40

Typical copayment $23.56 (range $4.17 – $33.10)

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 11

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

WILLIS HOLLOWAY JR. M.D.

Psychiatry & Neurology (Psychiatry)