SHANNON MAYHEW WAGGONER FNP-C NPI 1629653670

NPI Information

  • NPI: 1629653670
  • Provider Name: SHANNON MAYHEW WAGGONER, FNP-C
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 702 HARTNESS RD
    STATESVILLE, NC
    ZIP 28677
  • Phone: (704) 871-9818

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NPI Details

Shannon Mayhew Waggoner, FNP-C is a family nurse practitioner in Statesville, NC with 6 years of experience. Shannon Mayhew Waggoner, FNP-C NPI is 1629653670. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

702 HARTNESS RD
STATESVILLE, NC
ZIP 28677-425
Phone: (704) 871-9818
Fax: (704) 495-3626

The NPI 1629653670 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml (HCPCS:Q9967)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Ultrasound measurement of bladder capacity after voiding (HCPCS:51798)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Psa (prostate specific antigen) measurement, total (HCPCS:84153)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Bacterial colony count, urine (HCPCS:87086)
  • Leuprolide acetate (for depot suspension), 7.5 mg (HCPCS:J9217)
  • Urinalysis, manual test (HCPCS:81002)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • Bacterial urine culture (HCPCS:87088)
  • Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution (HCPCS:87186)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • Ct scan of abdomen and pelvis before and after contrast (HCPCS:74178)
  • Blood creatinine level (HCPCS:82565)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Complete ultrasound scan behind abdominal cavity (HCPCS:76770)
  • Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle (HCPCS:96402)
  • Manual urinalysis test with examination using microscope, automated (HCPCS:81001)

The enumeration date for this NPI number is 3/11/2021 and was last updated on 8/10/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily5014171NORTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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