Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1497358014 Individual Practitioner Female Practitioner

Dr. Melissa Waggener , MD

Surgery • Fort Worth, TX

Professional Overview & Biography Verified Profile Summary

Dr. Melissa Waggener, MD is a registered healthcare professional specializing in Surgery in Fort Worth, TX. Practice services are available at 1500 S MAIN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1500 S Main St

Fort Worth, TX 761044941

Telephone 8177021100
Associated Practice Facility / Clinic
🏢 Jps Physician Group Inc Facility NPI 1184619082

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Fort Worth, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 25.2 Yrs
State Avg: 25.2 Yrs
Regional Practice Density
77 Specialists

Practicing in Fort Worth, TX (2342 Statewide)

Telehealth Adoption Rate
13.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-03-06
Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License OK 43590

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Family Medicine

NUCC Taxonomy Code: 207Q00000X

State License TX 805977

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Mitchell Johnson

Student in an Organized Health Care Education/Training Program

NPI 1003603465
Jenise Glass , FNP

Nurse Practitioner - Family

NPI 1003647017

Family Nurse Practitioner

Dr. Andrew Mckeen , MD

Student in an Organized Health Care Education/Training Program

NPI 1023802048

Doctor of Medicine (M.D.)

Dr. Chi Vu , MD

Family Medicine

NPI 1033171525

Doctor of Medicine (M.D.)

Dr. David Grissom , MD

Internal Medicine

NPI 1033188677

Doctor of Medicine (M.D.)

Marian James , FNP-C

Nurse Practitioner - Family

NPI 1033687256

Family Nurse Practitioner (Certified)

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location March 06, 2026

Registered at 1500 S MAIN ST, FORT WORTH, TX 761044941 (Tel: 8177021100)

📍
Updated Business Mailing Address March 06, 2026

Registered at 1500 S MAIN ST, FORT WORTH, TX 761044941 (Tel: 8177021100)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 06, 2026

Surgery (License #43590 in OK)

👤
Provider Name / Credentials Updated June 10, 2024

Recorded as MELISSA WAGGENER, MD

NPI Profile Active November 17, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location November 17, 2020

Registered at 800 STANTON L YOUNG BLVD, OKLAHOMA CITY, OK 731045018 (Tel: 4052712316)

📍
Updated Business Mailing Address November 17, 2020

Registered at 800 STANTON L YOUNG BLVD, OKLAHOMA CITY, OK 731045018 (Tel: 4052712316)

👤
Provider Name / Credentials Updated November 17, 2020

Recorded as MELISSA WAGGENER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 17, 2020

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration November 17, 2020

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: 1497358014
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 17, 2020
Last Update: March 06, 2026
Sole Proprietor: No

Mailing Address

1500 S Main St

Fort Worth, TX 761044941

Phone: 8177021100

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.