Jacquelynn Wagoner, DO
NPI 1184011074 · Pediatrics Physician · Fresno, CA
Enrolled with Medicare as Practitioner - Pediatric Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jacquelynn Wagoner, DO is a Pediatrics Physician provider in Fresno, CA (NPI 1184011074).
Provider details
- NPI number
- 1184011074
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Female
- Sole proprietor
- No
- License
- 20A15405 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs 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
- 2015-04-19
- Last updated
- 2020-01-10
- Certified
- 2020-01-10
Frequently asked questions
- What is Jacquelynn Wagoner's NPI number?
- Jacquelynn Wagoner's National Provider Identifier (NPI) is 1184011074, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jacquelynn Wagoner's specialty?
- Jacquelynn Wagoner is listed in the NPPES registry with a primary specialty of Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Jacquelynn Wagoner located?
- Jacquelynn Wagoner's practice location on file with NPPES is 2823 Fresno St, Fresno, CA 93721-1324.
- What is Jacquelynn Wagoner's phone number?
- The practice phone number listed in the NPPES registry for Jacquelynn Wagoner is (559) 499-6556.
- Does Jacquelynn Wagoner accept Medicare?
- Jacquelynn Wagoner is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jacquelynn Wagoner's NPI active?
- Yes — Jacquelynn Wagoner's NPI (1184011074) is active in the NPPES registry as of the last update on 2020-01-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.