Kimberly Waggener, MD
NPI 1073316691 · Student in an Organized Health Care Education/Training Program · Winston Salem, NC
Enrolled with Medicare as Order and Referring Only - Urology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kimberly Waggener, MD is a Student in an Organized Health Care Education/Training Program provider in Winston Salem, NC (NPI 1073316691).
Provider details
- NPI number
- 1073316691
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- RTL25-0048 (NC)
Specialties & taxonomies
- Student in an Organized Health Care Education/Training ProgramPrimary390200000XLicense RTL25-0048 (NC)
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-03-29
- Last updated
- 2025-03-29
- Certified
- 2025-03-29
Frequently asked questions
- What is Kimberly Waggener's NPI number?
- Kimberly Waggener's National Provider Identifier (NPI) is 1073316691, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kimberly Waggener's specialty?
- Kimberly Waggener is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program (Student, Health Care).
- Where is Kimberly Waggener located?
- Kimberly Waggener's practice location on file with NPPES is One Medical Center Blvd, Winston Salem, NC 27157-0001.
- What is Kimberly Waggener's phone number?
- The practice phone number listed in the NPPES registry for Kimberly Waggener is (336) 716-4241.
- Does Kimberly Waggener accept Medicare?
- Kimberly Waggener is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kimberly Waggener's NPI active?
- Yes — Kimberly Waggener's NPI (1073316691) is active in the NPPES registry as of the last update on 2025-03-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.