KRISTINA WAGGONER FNP
NPI 1861886715
Nurse Practitioner - Family in Chatham, IL

Active since March 27, 2015PECOS EnrolledAccepts Medicare Assignment
72.14/100
CMS Quality Rating
101 E PLUMMER BLVD, CHATHAM, IL 62629(217) 483-3487(217) 483-8150 Get Directions Write a Review

NPPES record last updated: March 27, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kristina Waggoner Fnp NPPES

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

KRISTINA WAGGONER FNP (NPI 1861886715) is an individual family provider in Chatham, Illinois, licensed in Illinois (209012659) and active in the NPI registry since March 2015. She is enrolled in Medicare PECOS, is affiliated with Memorial Medical Center, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1861886715
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKRISTINA WAGGONERCredential: FNP
Location Address101 E PLUMMER BLVDChatham, IL 62629-8047
Mailing Address101 E Plummer BlvdChatham, IL 62629-8047 · (217) 483-3487 · Fax (217) 483-8150
Fax(217) 483-8150
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateMarch 27, 2015
NPI 1861886715 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 IL · 209012659
101 E PLUMMER BLVD, Chatham, IL 62629

Other Identifiers 1

Other2014027437Ancc Certification

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

Kristina Waggoner Fnp 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 ID2567783525
PECOS Enrollment IDI20150603001573
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 3

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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, 30-39 minutes 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.
100 services83 patients
Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
37 services13 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
33 services31 patients

Hospital Affiliations CMS Care Compare

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

Memorial Medical Center

Acute Care Hospitals · Springfield, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140148
Location701 N First StSpringfield, IL 62702 · Sangamon County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62629 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

72.14/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.96
Improvement Activities40
Cost53.06

Other Providers at the Same Location NPPES 19

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

Family Medicine
101 E PLUMMER BLVD
CHATHAM, IL 62629
Family Medicine
101 E PLUMMER BLVD
CHATHAM, IL 62629
Nurse Practitioner (Family)
101 E PLUMMER BLVD
CHATHAM, IL 62629
Family Medicine
101 E PLUMMER BLVD
CHATHAM, IL 62629
Family Medicine
101 E PLUMMER BLVD
CHATHAM, IL 62629
Pharmacy (Community/Retail Pharmacy)
101 E PLUMMER BLVD
CHATHAM, IL 62629
Physical Therapist
101 E PLUMMER BLVD
CHATHAM, IL 62629
Family Medicine
101 E PLUMMER BLVD
CHATHAM, IL 62629

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1861886715, enumerated as an "individual" on March 27, 2015.

The provider is located at 101 E PLUMMER BLVD CHATHAM, IL 62629 and the phone number is (217) 483-3487.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.

Kristina Waggoner is affiliated with: MEMORIAL MEDICAL CENTER.