Kourtney Lenea Waggoner, PA
NPI 1265997191ActiveIndividual· Physician Assistant· Kenmore, NY
Physician Assistant (PA) with Wellnow Urgent Care, P.C., practicing in Kenmore, New York. Enrolled in Medicare as practitioner - physician assistant and practitioner - physician assistant.
Overview
| NPI | 1265997191 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | No |
| NPI issued | Feb 5, 2019 |
| Last updated in NPPES | Feb 5, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 023195 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (IL); Practitioner - Physician Assistant (IN); Practitioner - Physician Assistant (MI); Practitioner - Physician Assistant (NY); Practitioner - Physician Assistant (PA) |
|---|
Education and affiliations
| Graduation year | 2018 |
|---|---|
| Medicare specialty | Physician Assistant |
| Telehealth | Offers telehealth |
Medical group
- Wellnow Urgent Care, P.C.Batavia, NY · 392 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Physician Assistant providers in Kenmore
- 1518946789
- 1033591342
- 1477513034
- 1689989907
- 1639113129
- 1962608505
- 1386252005
- 1134671878
- 1386681609
- 1962468413
- 1619444825
- 1124956537