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

Q: What is Kristina Waggoner's NPI number?

The NPI number for Kristina Waggoner is 1861886715. It was assigned to this individual provider in the NPPES registry on March 27, 2015.

Q: What is Kristina 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 Kristina Waggoner was last updated on March 27, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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 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: August 09, 2026.

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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

Phone(217) 483-3487

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

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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 4

Services this provider delivered to Medicare fee-for-service patients, from the 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 with moderate level of decision making, if using time, 30 minutes or more 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.

89 services65 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 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.

36 services35 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.

32 services14 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

18 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Carlinville Area Hospital

Critical Access Hospitals · Carlinville, IL

OwnershipVoluntary non-profit - Private

CMS Certification Number141347

Location20733 N Broad StreetCarlinville, IL 62626 · Macoupin County

Emergency services

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

Quality

74.96

Improvement Activities

Cost

53.06

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.

GUSTAVO MOSQUERA MD

Family Medicine