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William Wagoner, FNP

NPI 1710854252ActiveIndividual· Nurse Practitioner· Fairmont, WV

Nurse Practitioner (FNP) in Fairmont, West Virginia, licensed in WV, with an NPI issued in October 2025. Enrolled in Medicare as practitioner - nurse practitioner. Lists West Virginia University Hospitals, Inc as a hospital affiliation.

Overview

NPI1710854252
StatusActive
Entity typeIndividual
CredentialFNP
Sole proprietorNo
NPI issuedOct 20, 2025
Last updated in NPPESOct 20, 2025
Certified by providerOct 20, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Nurse Practitioner Primary363L00000X124345WV

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Nurse Practitioner (WV)

Medicare sources and data years

Education and affiliations

Graduation year2025
Medicare specialtyNurse Practitioner

Hospital affiliation

Other facilities

Source: CMS Care Compare

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other Nurse Practitioner providers in Fairmont

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