Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1962365494 Individual Practitioner Male Practitioner

Caleb Mark Wagoner , FNP-C

Nurse Practitioner • Medford, OR

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Caleb Wagoner, FNP-C is a certified Nurse Practitioner practicing in Medford, OR. With approximately 1 years of clinical experience since completing medical education in 2025, Caleb Wagoner delivers high-quality medical care to the local community at 2825 E BARNETT RD.

Caleb Wagoner is affiliated with Asante Three Rivers Medical Center Llc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

2825 E Barnett Rd

Medford, OR 975048332

Telephone 5417894230
Associated Practice Facility / Clinic
🏢 Asante Facility NPI 1770587107

Medicare Profile & Education

Medical School

Other

Graduation Year

2025

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Medford, OR

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
1 Yrs -10.1 yrs vs City Avg
City Avg: 11.1 Yrs
State Avg: 11.1 Yrs
Regional Practice Density
72 Specialists

Practicing in Medford, OR (615 Statewide)

Telehealth Adoption Rate
27.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wagoner (1 Years) 1 Yrs
Medford Specialty Average (11.1 Years) 11.1 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-12-02
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License OR 10049367

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Hospital & Practice Group Affiliations

Asante Three Rivers Medical Center Llc

500 Sw Ramsey Ave, Grants Pass, OR 975275554

Phone: 5414727000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Dr. Diya Mohammad , MD

Internal Medicine - Pulmonary Disease

NPI 1427339738

Doctor of Medicine (M.D.)

Brad Crawford , RN BSN

Registered Nurse - Critical Care Medicine

NPI 1538015094

RNBSN

NPI 1689831927

Doctor of Osteopathic Medicine (D.O.), FAAP

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active December 03, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location December 03, 2025

Registered at 2825 E BARNETT RD, MEDFORD, OR 975048332 (Tel: 5417894230)

📍
Updated Business Mailing Address December 03, 2025

Registered at 2825 E BARNETT RD, MEDFORD, OR 975048332 (Tel: 5417894230)

👤
Provider Name / Credentials Updated December 03, 2025

Recorded as CALEB WAGONER, FNP-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 03, 2025

Nurse Practitioner (License #10049367 in OR)

🟢
Initial NPI Registration & Enumeration December 03, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1962365494
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 03, 2025
Last Update: December 03, 2025
Sole Proprietor: No

Mailing Address

2825 E Barnett Rd

Medford, OR 975048332

Phone: 5417894230

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.