SERENA WAGONER DO
NPI 1790314854
Pediatrics - Child Abuse Pediatrics in Beaver Dam, WI
NPI Status: Active since April 02, 2020
Contact Information
705 S UNIVERSITY AVE
BEAVER DAM, WI
ZIP 53916
Phone: (920) 887-9272
- Individual
- Female
- Pediatrics
- Child Abuse Pediatrics
- PECOS Enrolled
About SERENA WAGONER
This page provides the complete NPI Profile along with additional information for Serena Wagoner, a pediatrician established in Beaver Dam, Wisconsin with a medical specialization in Pediatrics, focusing in child abuse pediatrics . The healthcare provider is registered in the NPI registry with number 1790314854 assigned on April 2020. The practitioner's primary taxonomy code is 2080C0008X with license number 82110 (WI). The provider is registered as an individual and her NPI record was last updated June 2026.
- NPI
- 1790314854
- Provider Name
- SERENA WAGONER DO
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 705 S UNIVERSITY AVE BEAVER DAM, WI 53916
- Location Phone
- (920) 887-9272
- Mailing Address
- 7974 UW HEALTH CT MIDDLETON, WI 53562
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 04-02-2020
- Last Update Date
- 06-01-2026
- Code Navigator
A pediatrician like Serena Wagoner is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics Child Abuse Pediatrics
- Taxonomy Code
- 2080C0008X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 82110
- License State
- WI
- Taxonomy Description
- A Child Abuse Pediatrician serves as a resource to children, families and communities by accurately diagnosing abuse; consulting with community agencies on child safety; providing expertise in courts of law; treating consequences of abuse and neglect; directing child abuse and neglect prevention programs and participating on multidisciplinary teams investigating; and managing child abuse cases.
Medicare Participation & PECOS Enrollment Status
Serena Wagoner is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1790314854, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 66 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
BEAVER DAM, WI 53916
BEAVER DAM, WI 53916
BEAVER DAM, WI 53916
BEAVER DAM, WI 53916
BEAVER DAM, WI 53916
BEAVER DAM, WI 53916
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1790314854, enumerated as an "individual" on April 02, 2020.
The provider is located at 705 S UNIVERSITY AVE BEAVER DAM, WI 53916 and the phone number is (920) 887-9272.
Pediatrics with taxonomy code 2080C0008X and a focus in Child Abuse Pediatrics.
