Caleb Mark Wagoner, FNP-C
NPI 1962365494ActiveIndividual· Nurse Practitioner· Medford, OR
Nurse Practitioner (FNP-C) with Asante and 1 other group, practicing in Medford, Oregon. Enrolled in Medicare as practitioner - nurse practitioner. Lists Asante Rogue Regional Medical Center and 1 other hospital as hospital affiliations.
Overview
| NPI | 1962365494 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | FNP-C |
| Sole proprietor | No |
| NPI issued | Dec 3, 2025 |
| Last updated in NPPES | Dec 3, 2025 |
| Certified by provider | Dec 2, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 10049367 | OR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (OR) |
|---|
Education and affiliations
| Graduation year | 2025 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical groups
- AsanteMedford, OR · 149 clinicians
- Asante Three Rivers Medical Center LLCGrants Pass, OR · 99 clinicians
Hospital affiliations
- Asante Rogue Regional Medical CenterMedford, OR
- Asante Three Rivers Medical CenterGrants Pass, OR
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other nurse practitioners in Medford
- 1053088575
- 1053468959
- 1164071858
- 1164184784
- 1285631648
- 1346847332
- 1346849890
- 1356977144
- 1417312315
- 1447401500
- 1487995528
- 1528818978
All 78 nurse practitioners in Medford · All nurse practitioners in Oregon