CALEB MARK WAGONER FNP-C
NPI 1962365494
Nurse Practitioner in Medford, OR
About Caleb Mark Wagoner Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CALEB MARK WAGONER FNP-C (NPI 1962365494) is an individual nurse practitioner in Medford, Oregon, licensed in Oregon (10049367) and active in the NPI registry since December 2025. He is enrolled in Medicare PECOS, is affiliated with Asante Three Rivers Medical Center, 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 and accepts Medicare assignment
Caleb Mark Wagoner Fnp-c 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Asante Three Rivers Medical Center
Acute Care Hospitals · Grants Pass, ORPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97504 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.
MEDFORD, OR 97504
MEDFORD, OR 97504
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 Caleb Wagoner's NPI number?
The NPI number for Caleb Wagoner is 1962365494. It was assigned to this individual provider in the NPPES registry on December 3, 2025.
Where is Caleb Wagoner located?
Caleb Wagoner practices at 2825 E Barnett Rd, Medford, OR 97504. The listed phone number is (541) 789-4230.
What is Caleb Wagoner's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Caleb Wagoner enrolled in Medicare?
Yes. Caleb Wagoner is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Is Caleb Wagoner affiliated with any hospitals?
According to CMS data, Caleb Wagoner is affiliated with Asante Three Rivers Medical Center.
When was this NPI record last updated?
The NPPES record for Caleb Wagoner was last updated on December 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Caleb Mark Wagoner, FNP-C · NPI 1962365494
Nurse Practitioner physician in Medford, Oregon. Individual provider, active in the CMS NPPES registry since December 3, 2025.
## Identity
- **NPI:** 1962365494 (Entity type: Individual)
- **Enumerated:** December 3, 2025
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 10049367 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 2825 E BARNETT RD, Medford, OR 97504-8332
- **Phone:** (541) 789-4230
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **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:** December 3, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1962365494) · Data from the CMS NPPES public registry.