Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1750538310 Individual Practitioner Female Practitioner

Skye Gustin Waggoner , PA-C

Physician Assistant • Salem, OR

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Skye Waggoner, PA-C is a certified Physician Assistant practicing in Salem, OR. With approximately 18 years of clinical experience since completing medical education in 2008, Skye Waggoner delivers high-quality medical care to the local community at 3896 BEVERLY AVE NE.

Skye Waggoner is affiliated with Kaiser Foundation Health Plan Of The Northwest and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

3896 Beverly Ave Ne
Bldg J, Ste 40

Salem, OR 973051374

Telephone 5035880076
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2008

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Salem, OR

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
18 Yrs +9.0 yrs vs City Avg
City Avg: 9.0 Yrs
State Avg: 10.5 Yrs
Regional Practice Density
128 Specialists

Practicing in Salem, OR (2106 Statewide)

Telehealth Adoption Rate
10.2% 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. Waggoner (18 Years) 18 Yrs
Salem Specialty Average (9.0 Years) 9.0 Yrs

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Kaiser Foundation Health Plan Of The Northwest

10180 Se Sunnyside Rd, Clackamas, OR 970158970

Phone: 8008132000

Kaiser Foundation Health Plan Of The Northwest

3550 N Interstate Ave, Portland, OR 972271196

Phone: 8008132000

Kaiser Foundation Health Plan Of The Northwest

3500 N Interstate Ave, Portland, OR 972271196

Phone: 8008132000

Kaiser Foundation Health Plan Of The Northwest

10100 Se Sunnyside Rd, Clackamas, OR 970158970

Phone: 8008132000

Practice Associates & Co-Workers

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

11 Associated Practitioners
Mckenna Chandler , PA-S

Physician Assistant

NPI 1053934026

PAS

Dawn Lehman

Registered Nurse

NPI 1073882486
Angelique Holley

Physician Assistant

NPI 1205659174
NPI 1316615545

Master of Public Health

Christine Wilson , PA-C

Physician Assistant

NPI 1336234277

Physician Assistant (Certified)

Dr. Kathy Shaw , MD

Family Medicine

NPI 1417273426

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active August 25, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location August 25, 2008

Registered at 3896 BEVERLY AVE NE, BLDG J, STE 40, SALEM, OR 973051374 (Tel: 5035880076)

📍
Updated Business Mailing Address August 25, 2008

Registered at 3896 BEVERLY AVE NE, BLDG J, STE 40, SALEM, OR 973051374 (Tel: 5035880076)

👤
Provider Name / Credentials Updated August 25, 2008

Recorded as SKYE WAGGONER, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 25, 2008

Physician Assistant

🟢
Initial NPI Registration & Enumeration August 25, 2008

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: 1750538310
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 25, 2008
Last Update: August 25, 2008
Sole Proprietor: No

Mailing Address

3896 Beverly Ave Ne, Bldg J, Ste 40

Salem, OR 973051374

Phone: 5035880076

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.