MARCI LYNN WAGGONER (NP) – Adult Health Nurse Practitioner, NPI 1164884714
Adult Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,307 NURSE PRACTITIONER in VA
Provider Addresses for MARCI LYNN WAGGONER (NP)
13621 Baycraft Ter
Midlothian, VA 231122166
Phone: (804) 616-8884
Type: Location
13621 BAYCRAFT TER
MIDLOTHIAN, VA 231122166
Phone: (804) 616-8884
Type: Mailing
4212 PARK PLACE CT
GLEN ALLEN, VA 230603314
Phone: (804) 332-5950
Fax: (804) 728-1086
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 22 Open Payments records for all available years, with a total value of $442.
Total Amount is formed as General ($442) + Research ($0) + Ownership ($0) = $442.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Indivior Inc. ($130).
Total Amount
$442
General + Research + Ownership
Payments
22
Total payment records
General Amount
$442
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Indivior Inc. | $130 |
| Gilead Sciences, Inc. | $127 |
| Braeburn Inc. | $122 |
| Alkermes, Inc. | $29 |
| ITI, Inc. | $18 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2020-11-12
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20201112002658 | I | Nurse Practitioner | VA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 50 | 11 | $0 |
| 80305 | Testing for presence of drug, read by direct observation | 45 | 13 | $0 |
Insurance plans in this area (ZIP 23112)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | VA | |
| Nurse Practitioner | VA | |
| Addiction Medicine, Psychiatry | VA | |
| Addiction Medicine, Internal Medicine, Geriatric Medicine | VA | |
| Mental Health Counselor | VA | |
| Physician Assistant | VA | |
| Addiction Medicine | VA | |
| Nurse Practitioner | VA | |
| Nurse Practitioner | VA | |
| Nurse Practitioner | VA |
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