Shy Wagoner, CST
NPI 1164655452 · Surgical Technologist · Springfield, IL
Shy Wagoner, CST is a Surgical Technologist provider in Springfield, IL (NPI 1164655452).
Provider details
- NPI number
- 1164655452
- Entity type
- Individual
- Primary specialty
- Surgical TechnologistTechnologists, Technicians & Other Technical Service Providers
- Credential
- CST
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
83% 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
- 2009-09-02
- Last updated
- 2012-02-17
Frequently asked questions
- What is Shy Wagoner's NPI number?
- Shy Wagoner's National Provider Identifier (NPI) is 1164655452, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shy Wagoner's specialty?
- Shy Wagoner is listed in the NPPES registry with a primary specialty of Surgical Technologist (Technologists, Technicians & Other Technical Service Providers).
- Where is Shy Wagoner located?
- Shy Wagoner's practice location on file with NPPES is 2921 Montvale Dr, Springfield, IL 62704-5359.
- What is Shy Wagoner's phone number?
- The practice phone number listed in the NPPES registry for Shy Wagoner is (217) 787-2700.
- Is Shy Wagoner's NPI active?
- Yes — Shy Wagoner's NPI (1164655452) is active in the NPPES registry as of the last update on 2012-02-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.