MR. BRIAN GEORGE WAGONER RN, FNP BC
NPI 1306083480
Nurse Practitioner - Family in Springfield, MO

Active since January 12, 2009PECOS EnrolledAccepts Medicare Assignment
1235 E CHEROKEE ST, SPRINGFIELD, MO 65804(417) 820-9729(417) 820-6471 Get Directions Write a Review

NPPES record last updated: June 10, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Brian George Wagoner Rn, Fnp Bc NPPES

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

MR. BRIAN GEORGE WAGONER RN, FNP BC (NPI 1306083480) is an individual family provider in Springfield, Missouri, licensed in Missouri (155580) and active in the NPI registry since January 2009. He is enrolled in Medicare PECOS, is affiliated with Mercy Hospital Springfield, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1306083480
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. BRIAN GEORGE WAGONERCredential: RN, FNP BC
Location Address1235 E CHEROKEE STSpringfield, MO 65804-2203
Mailing AddressPo Box 2580Springfield, MO 65801-2580 · (417) 829-4620 · Fax (417) 829-4312
Fax(417) 820-6471
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateJanuary 12, 2009
Last NPPES UpdateJune 10, 2009
NPI 1306083480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MO · 155580
1235 E CHEROKEE ST, Springfield, MO 65804

Other Identifiers 2

MedicaidPENDINGMO
Medicare PINPENDINGMO

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

Mr. Brian George Wagoner Rn, Fnp Bc 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 ID2860542693
PECOS Enrollment IDI20090616000649
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 2

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 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.
282 services211 patients
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.
85 services77 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mercy Hospital Springfield

Acute Care Hospitals · Springfield, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260065
Location1235 E CherokeeSpringfield, MO 65804 · Greene County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65804 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
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 20

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

Internal Medicine
1235 E CHEROKEE ST
SPRINGFIELD, MO 65804
Emergency Medicine
1235 E CHEROKEE ST
SPRINGFIELD, MO 65804
Anesthesiology
1235 E CHEROKEE ST
SPRINGFIELD, MO 65804
Nurse Anesthetist, Certified Registered
1235 E CHEROKEE ST
SPRINGFIELD, MO 65804
Speech-Language Pathologist
1235 E CHEROKEE ST
SPRINGFIELD, MO 65804
Nurse Practitioner (Gerontology)
1235 E CHEROKEE ST
SPRINGFIELD, MO 65804
Physician Assistant
1235 E CHEROKEE ST
SPRINGFIELD, MO 65804
Nurse Anesthetist, Certified Registered
1235 E CHEROKEE ST
SPRINGFIELD, MO 65804

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 Brian Wagoner's NPI number?

The NPI number for Brian Wagoner is 1306083480. It was assigned to this individual provider in the NPPES registry on January 12, 2009.

Where is Brian Wagoner located?

Brian Wagoner practices at 1235 E Cherokee St, Springfield, MO 65804. The listed phone number is (417) 820-9729.

What is Brian Wagoner's specialty?

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

Is Brian Wagoner enrolled in Medicare?

Yes. Brian Wagoner 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 Brian Wagoner accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 5 other insurers list Brian Wagoner 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.

Is Brian Wagoner affiliated with any hospitals?

According to CMS data, Brian Wagoner is affiliated with Mercy Hospital Springfield.

When was this NPI record last updated?

The NPPES record for Brian Wagoner was last updated on June 10, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.