Shaena Victoria Waggoner, FNP in North Augusta, SC

Shaena Victoria Waggoner, FNP is a medicare enrolled "Nurse Practitioner - Family" in North Augusta, South Carolina. She graduated from nursing school in 2024 and has 2 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Rural Urgent Care Llc and her current practice location is 140 Allen Ct, North Augusta, South Carolina. You can reach out to her office (for appointments etc.) via phone at (803) 510-0007.

Shaena Victoria Waggoner is licensed to practice in South Carolina (license number 31005) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1013753904.

Contact Information

	Shaena Victoria Waggoner, FNP
	140 Allen Ct, North Augusta, SC 29860-9782
	(803) 510-0007
	Not Available

Map and Direction

Provider's Profile

Full Name	Shaena Victoria Waggoner
Gender	Female
Speciality	Nurse Practitioner
Experience	2 Years
Location	140 Allen Ct, North Augusta, South Carolina
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Shaena Victoria Waggoner graduated from nursing school in 2024

NPI Data:

NPI Number: 1013753904
Provider Enumeration Date: 07/01/2024
Last Update Date: 10/16/2025

Medicare PECOS Information:

PECOS PAC ID: 4486187168
Enrollment ID: I20241102000334

Medical Identifiers

Medical identifiers for Shaena Victoria Waggoner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013753904	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	293656 (North Carolina)	Secondary
363LF0000X	Nurse Practitioner - Family	31005 (South Carolina)	Primary
363LF0000X	Nurse Practitioner - Family	GAA-NP002533 (Georgia)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Rural Urgent Care Llc	8820305600	123

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. Shaena Victoria Waggoner allows following entities to bill medicare on her behalf.

Entity Name	Rural Urgent Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932586476 PECOS PAC ID: 8820305600 Enrollment ID: O20201029003001

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. Shaena Victoria 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
Shaena Victoria Waggoner, FNP 140 Allen Ct, North Augusta, SC 29860-9782 Ph: (803) 510-0007	Shaena Victoria Waggoner, FNP 140 Allen Ct, North Augusta, SC 29860-9782 Ph: (803) 510-0007

Reviews and Comments

Nurse Practitioner Nurses in North Augusta, SC

Ashley Marie Dickert, PNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 140 Allen Court, North Augusta, SC 29860 Phone: 803-510-0007
Kimberly Emia May, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 22 Burning Tree Pl, North Augusta, SC 29860 Phone: 478-456-0003
Linsey Caines, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 104 Walnut Ln Ste 101, North Augusta, SC 29860 Phone: 803-599-7680 Fax: 949-695-2162
Chelsea Nicole Bukiewicz, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 150 Bluff Ave Ste 2000, North Augusta, SC 29841 Phone: 803-624-1313
Katie Streeter, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 108 W Arlington Hts, North Augusta, SC 29841 Phone: 706-262-5272
Charlaine Conger, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 105 Lake Murray Dr, North Augusta, SC 29841 Phone: 803-292-9250
Amanda Byers, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 220 Edgefield Rd, North Augusta, SC 29841 Phone: 803-426-8882

Shaena Victoria Waggoner, FNP - Medicare Nurse Practitioner in North Augusta, SC