Clarence Wagoner, CRNA
NPI 1235126400 · Certified Registered Nurse Anesthetist · Kenansville, NC
Clarence Wagoner, CRNA is a Certified Registered Nurse Anesthetist provider in Kenansville, NC (NPI 1235126400).
Provider details
- NPI number
- 1235126400
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- No
- License
- 059528 (NC)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
- 2005-10-04
- Last updated
- 2009-08-24
Frequently asked questions
- What is Clarence Wagoner's NPI number?
- Clarence Wagoner's National Provider Identifier (NPI) is 1235126400, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Clarence Wagoner's specialty?
- Clarence Wagoner is listed in the NPPES registry with a primary specialty of Certified Registered Nurse Anesthetist (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Clarence Wagoner located?
- Clarence Wagoner's practice location on file with NPPES is 401 N. Main St., Kenansville, NC 28349-0278.
- What is Clarence Wagoner's phone number?
- The practice phone number listed in the NPPES registry for Clarence Wagoner is (910) 296-2608.
- Is Clarence Wagoner's NPI active?
- Yes — Clarence Wagoner's NPI (1235126400) is active in the NPPES registry as of the last update on 2009-08-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.