Serena Wagoner, DO
NPI 1790314854 · Child Abuse Pediatrics Physician · Beaver Dam, WI
Enrolled with Medicare as Order and Referring Only - Pediatric Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Serena Wagoner, DO is a Child Abuse Pediatrics Physician provider in Beaver Dam, WI (NPI 1790314854).
Provider details
- NPI number
- 1790314854
- Entity type
- Individual
- Primary specialty
- Child Abuse Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Female
- Sole proprietor
- Yes
- License
- 82110 (WI)
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
6 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
- 2020-04-02
- Last updated
- 2026-06-01
- Certified
- 2026-06-01
Frequently asked questions
- What is Serena Wagoner's NPI number?
- Serena Wagoner's National Provider Identifier (NPI) is 1790314854, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Serena Wagoner's specialty?
- Serena Wagoner is listed in the NPPES registry with a primary specialty of Child Abuse Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Serena Wagoner located?
- Serena Wagoner's practice location on file with NPPES is 705 S University Ave, Beaver Dam, WI 53916-3053.
- What is Serena Wagoner's phone number?
- The practice phone number listed in the NPPES registry for Serena Wagoner is (920) 887-9272.
- Does Serena Wagoner accept Medicare?
- Serena Wagoner is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Serena Wagoner's NPI active?
- Yes — Serena Wagoner's NPI (1790314854) is active in the NPPES registry as of the last update on 2026-06-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.