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Active NPI 1710854252 Individual Practitioner Male Practitioner

William Wagoner , FNP

Nurse Practitioner • Fairmont, WV

Professional Overview & Biography Verified Profile Summary

William Wagoner, FNP is a certified Nurse Practitioner practicing in Fairmont, WV. With approximately 1 years of clinical experience since completing medical education in 2025, William Wagoner delivers high-quality medical care to the local community at 1322 LOCUST AVE.

William Wagoner does not directly accept Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

1322 Locust Ave

Fairmont, WV 265541436

Telephone 3043660700
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2025

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Fairmont, WV

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
1 Yrs -9.4 yrs vs City Avg
City Avg: 10.4 Yrs
State Avg: 9.2 Yrs
Regional Practice Density
10 Specialists

Practicing in Fairmont, WV (549 Statewide)

Telehealth Adoption Rate
30.0% 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
Fairmont Specialty Average (10.4 Years) 10.4 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-10-20
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License WV 124345

(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.

Practice Associates & Co-Workers

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

34 Associated Practitioners
Sariah Waldron

Nurse Practitioner - Primary Care

NPI 1033947213
Therese Reed , FNP-C

Nurse Practitioner - Family

NPI 1043948193

Family Nurse Practitioner (Certified)

NPI 1093972366

Registered Pharmacist

Rubina Dasilva , PA-C

Physician Assistant

NPI 1104887405

Physician Assistant (Certified)

Dr. Ryan Hall , MD

Internal Medicine

NPI 1184944241

Doctor of Medicine (M.D.)

NPI 1205901428

Pharmacist

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active October 20, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location October 20, 2025

Registered at 1322 LOCUST AVE, FAIRMONT, WV 265541436 (Tel: 3043660700)

📍
Updated Business Mailing Address October 20, 2025

Registered at 107 COWELL ST, WESTOVER, WV 265013809

👤
Provider Name / Credentials Updated October 20, 2025

Recorded as WILLIAM WAGONER, FNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 20, 2025

Nurse Practitioner (License #124345 in WV)

🟢
Initial NPI Registration & Enumeration October 20, 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: 1710854252
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 20, 2025
Last Update: October 20, 2025
Sole Proprietor: No

Mailing Address

107 Cowell St

Westover, WV 265013809

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.