MRS. PHYLLIS THORNTON WAGGONER NP-C
NPI 1831542190
Nurse Practitioner - Family in Mechanicsville, VA

Q: What is Phyllis Waggoner's NPI number?

The NPI number for Phyllis Waggoner is 1831542190. It was assigned to this individual provider in the NPPES registry on July 21, 2016.

Q: What is Phyllis Waggoner's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Phyllis Waggoner was last updated on June 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since July 21, 2016PECOS Enrolled

88.48/100

CMS Quality Rating

8015 COLD HARBOR RD, MECHANICSVILLE, VA 23111(800) 640-3451 Get Directions Write a Review

NPPES record last updated: June 24, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mrs. Phyllis Thornton Waggoner Np-c NPPES

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

MRS. PHYLLIS THORNTON WAGGONER NP-C (NPI 1831542190) is an individual family provider in Mechanicsville, Virginia, licensed in Virginia (0024173765) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS, is affiliated with Bon Secours St Francis Medical Center, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1831542190

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. PHYLLIS THORNTON WAGGONERCredential: NP-C

Location Address8015 COLD HARBOR RDMechanicsville, VA 23111-1650

Mailing AddressPo Box 1200Pleasant Grove, UT 84062-1200 · (800) 640-3451

Phone(800) 640-3451

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateJuly 21, 2016

Last NPPES UpdateJune 24, 2025

NPPES CertifiedJune 24, 2025

✔ NPI 1831542190 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 VA · 0024173765

8015 COLD HARBOR RD, Mechanicsville, VA 23111

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Phyllis Thornton Waggoner Np-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5395032536

PECOS Enrollment IDI20161003000375

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.

Hospital Affiliations CMS Care Compare

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

Bon Secours St Francis Medical Center

Acute Care Hospitals · Midlothian, VA

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number490136

Location13710 St Francis BoulevardMidlothian, VA 23114 · Chesterfield County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23111 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

$86.88 typical visit price

range $56.19 – $170.30

Typical copayment $21.72 (range $14.04 – $42.57)

Most-billed visit code 99203

Established Patient

$99.13 typical visit price

range $18.07 – $138.91

Typical copayment $24.78 (range $4.51 – $34.72)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

88.48/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

76.97

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

2 suppliers11 claims11 services$7.77 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

2 suppliers16 claims16 services$200.41 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

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

JAIME LYN DAIL NP-C

Nurse Practitioner (Family)

8015 COLD HARBOR RD
MECHANICSVILLE, VA 23111

Hanover County (800) 640-3451

NICOLE KRISTINA ONGTAWCO NP

Nurse Practitioner (Primary Care)

8015 COLD HARBOR RD
MECHANICSVILLE, VA 23111

Hanover County (800) 640-3451

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 Phyllis Waggoner's NPI number?

The NPI number for Phyllis Waggoner is 1831542190. It was assigned to this individual provider in the NPPES registry on July 21, 2016.

Where is Phyllis Waggoner located?

Phyllis Waggoner practices at 8015 Cold Harbor Rd, Mechanicsville, VA 23111. The listed phone number is (800) 640-3451.

What is Phyllis Waggoner's specialty?

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

Is Phyllis Waggoner enrolled in Medicare?

Yes. Phyllis Waggoner is registered in the Medicare PECOS enrollment system.

Is Phyllis Waggoner affiliated with any hospitals?

According to CMS data, Phyllis Waggoner is affiliated with Bon Secours St Francis Medical Center.

When was this NPI record last updated?

The NPPES record for Phyllis Waggoner was last updated on June 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.