Wagoner Primary Care, LLC
NPI 1811578701 · Family Nurse Practitioner · Evening Shade, AR
Wagoner Primary Care, LLC is a Family Nurse Practitioner organization in Evening Shade, AR (NPI 1811578701).
Provider details
- NPI number
- 1811578701
- Entity type
- Organization
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Stephanie Wagoner, President(870) 283-2554
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
5 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
- 2021-04-21
- Last updated
- 2021-04-21
- Certified
- 2021-04-21
Frequently asked questions
- What is Wagoner Primary Care, LLC's NPI number?
- Wagoner Primary Care, LLC's National Provider Identifier (NPI) is 1811578701, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Wagoner Primary Care, LLC?
- Wagoner Primary Care, LLC is classified in the NPPES registry as Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Wagoner Primary Care, LLC located?
- Wagoner Primary Care, LLC's practice location on file with NPPES is 1477 Highway 167, Evening Shade, AR 72532-9497.
- What is Wagoner Primary Care, LLC's phone number?
- The practice phone number listed in the NPPES registry for Wagoner Primary Care, LLC is (870) 283-2554.
- Who is the authorized official for Wagoner Primary Care, LLC?
- The authorized official listed on Wagoner Primary Care, LLC's NPPES record is Stephanie Wagoner, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Wagoner Primary Care, LLC's NPI active?
- Yes — Wagoner Primary Care, LLC's NPI (1811578701) is active in the NPPES registry as of the last update on 2021-04-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.