Alishia Ann Waggoner, FNP-C in Independence, KS

Alishia Ann Waggoner, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Independence, Kansas. Her current practice location is 1415 N Pennsylvania Ave, Independence, Kansas. You can reach out to her office (for appointments etc.) via phone at (620) 331-2400.

Alishia Ann Waggoner is licensed to practice in Kansas (license number 53-83284-031) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1649013772.

Contact Information

	Alishia Ann Waggoner, FNP-C
	1415 N Pennsylvania Ave, Independence, KS 67301-2222
	(620) 331-2400
	Not Available

Map and Direction

Provider's Profile

Full Name	Alishia Ann Waggoner
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1415 N Pennsylvania Ave, Independence, Kansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1649013772
Provider Enumeration Date: 06/17/2024
Last Update Date: 08/27/2025

Medicare PECOS Information:

PECOS PAC ID: 9537608799
Enrollment ID: I20240831000536

Medical Identifiers

Medical identifiers for Alishia Ann Waggoner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1649013772	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	53-83284-031 (Kansas)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Alishia Ann Waggoner allows following entities to bill medicare on her behalf.

Entity Name	Community Health Center Of Southeast Kansas Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669474425 PECOS PAC ID: 7911816392 Enrollment ID: O20040209000163

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Alishia Ann Waggoner is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Alishia Ann Waggoner, FNP-C Po Box 1832, Pittsburg, KS 66762-1832 Ph: () -	Alishia Ann Waggoner, FNP-C 1415 N Pennsylvania Ave, Independence, KS 67301-2222 Ph: (620) 331-2400

Reviews and Comments

Nurse Practitioner Nurses in Independence, KS

Jodi Oder, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 800 W Laurel St, Independence, KS 67301 Phone: 620-332-3280 Fax: 620-332-3281
Ms. Amanda Leigh Denton, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3751 W Main St, Independence, KS 67301 Phone: 620-331-1748 Fax: 620-331-1940
Mary Ann Garner, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 900 W Myrtle St, Independence, KS 67301 Phone: 620-331-8190
Mrs. Mardie Anne Long, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1415 N Penn Ave, Independence, KS 67301 Phone: 620-331-2400 Fax: 620-331-0747
Erica Lea Whitson, APRN-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 800 W Laurel St, Independence, KS 67301 Phone: 620-332-3280 Fax: 620-332-3281
Mrs. Linda L Forbes, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 200 Arco Pl, Suite 333, Independence, KS 67301 Phone: 620-331-5440 Fax: 620-331-3791
Dawn Mccaffery, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 510 Peter Pan Rd, Independence, KS 67301 Phone: 620-577-4310 Fax: 620-577-4312

Alishia Ann Waggoner, FNP-C - Medicare Nurse Practitioner in Independence, KS