Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

MR. RICHARD K WAGGONER P.A.-C
NPI 1386698835
Physician Assistant in Grand Island, NE

Active since May 20, 2006
2116 W FAIDLEY AVE, STE 400, GRAND ISLAND, NE 68803(308) 381-0162(308) 389-4445 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 13, 2026, Mar 7, 2023 (2 updates tracked since 2023).

About Mr. Richard K Waggoner P.a.-c NPPES

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

MR. RICHARD K WAGGONER P.A.-C (NPI 1386698835) is an individual physician assistant in Grand Island, Nebraska, licensed in Nebraska (342000) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1386698835
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. RICHARD K WAGGONERCredential: P.A.-C
Location Address2116 W FAIDLEY AVE, STE 400Grand Island, NE 68803-4671
Mailing Address2116 W Faidley Ave, Ste 400Grand Island, NE 68803-4671 · (308) 381-0162 · Fax (308) 389-4445
Fax(308) 389-4445
Sole ProprietorNo
Enumeration DateMay 20, 2006
Last NPPES UpdateJuly 13, 20262 updates tracked since enumeration
NPI 1386698835 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 NE · 342000
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.

2116 W FAIDLEY AVE, Grand Island, NE 68803

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.

Physician Assistant (Medical)
2116 W FAIDLEY AVE
GRAND ISLAND, NE 68803
Nurse Practitioner
2116 W FAIDLEY AVE
GRAND ISLAND, NE 68803
Counselor (Mental Health)
2116 W FAIDLEY AVE
GRAND ISLAND, NE 68803
Family Medicine
2116 W FAIDLEY AVE, STE 400
GRAND ISLAND, NE 68803
Counselor (Addiction (Substance Use Disorder))
2116 W FAIDLEY AVE
GRAND ISLAND, NE 68803
Counselor (Addiction (Substance Use Disorder))
2116 W FAIDLEY AVE
GRAND ISLAND, NE 68803
Internal Medicine (Hematology & Oncology)
2116 W FAIDLEY AVE
GRAND ISLAND, NE 68803
Nurse Practitioner (Family)
2116 W FAIDLEY AVE
GRAND ISLAND, NE 68803

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 Richard Waggoner's NPI number?

The NPI number for Richard Waggoner is 1386698835. It was assigned to this individual provider in the NPPES registry on May 20, 2006.

Where is Richard Waggoner located?

Richard Waggoner practices at 2116 W Faidley Ave Ste 400, Grand Island, NE 68803. The listed phone number is (308) 381-0162.

What is Richard Waggoner's specialty?

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

When was this NPI record last updated?

The NPPES record for Richard Waggoner was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.