WILLIAM WAGONER FNP
NPI 1710854252
Nurse Practitioner in Fairmont, WV
About William Wagoner Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WILLIAM WAGONER FNP (NPI 1710854252) is an individual nurse practitioner in Fairmont, West Virginia, licensed in West Virginia (124345) and active in the NPI registry since October 2025. He is enrolled in Medicare PECOS, is affiliated with West Virginia University Hospitals, Inc, and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
William Wagoner Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
West Virginia University Hospitals, Inc
Acute Care Hospitals · Morgantown, WVPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 26554 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 William Wagoner's NPI number?
The NPI number for William Wagoner is 1710854252. It was assigned to this individual provider in the NPPES registry on October 20, 2025.
Where is William Wagoner located?
William Wagoner practices at 1322 Locust Ave, Fairmont, WV 26554. The listed phone number is (304) 366-0700.
What is William Wagoner's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is William Wagoner enrolled in Medicare?
Yes. William Wagoner is registered in the Medicare PECOS enrollment system.
Is William Wagoner affiliated with any hospitals?
According to CMS data, William Wagoner is affiliated with West Virginia University Hospitals, Inc.
When was this NPI record last updated?
The NPPES record for William Wagoner was last updated on October 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.
# William Wagoner, FNP · NPI 1710854252
Nurse Practitioner physician in Fairmont, West Virginia. Individual provider, active in the CMS NPPES registry since October 20, 2025.
## Identity
- **NPI:** 1710854252 (Entity type: Individual)
- **Enumerated:** October 20, 2025
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 124345 (West Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 1322 LOCUST AVE, Fairmont, WV 26554-1436
- **Phone:** (304) 366-0700
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** October 20, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1710854252) · Data from the CMS NPPES public registry.