Doctor profile · Federal record
Dr. Jennifer Waggoner, CRNA
Certified Registered Nurse Anesthetist (CMS: Certified Registered Nurse Anesthetist (CRNA)) · Certified Registered Nurse Anesthetist · Winston Salem, NC
- NPI 1669997201
- Accepts Medicare
- 9 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
145 Kimel Park Dr Ste 120
Winston Salem, NC 271036983
(336) 768-3212
fax (336) 768-9019
Credentials & registration
- NPI registered
- August 2017 — 9 yrs on file
- Profile last updated
- August 25, 2025
- Year of graduation
- 2017 — 9 yrs since
- Specialty taxonomy
- 367500000X — NUCC code
- State licenses (2)
- North Carolina #5716 · North Carolina #239951
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1669997201. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$108
Transactions
5
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Merck Sharp & Dohme LLC | 4 | $75.82 | |
| Edwards Lifesciences Corporation | 1 | $31.83 |
By nature of payment
Hospital affiliations
Frequently asked questions
What is Dr. Jennifer Waggoner's medical specialty?
Dr. Jennifer Waggoner practices Certified Registered Nurse Anesthetist in Winston Salem, NC.
Where does Dr. Jennifer Waggoner practice?
Dr. Jennifer Waggoner practices at 145 Kimel Park Dr Ste 120, Winston Salem, NC 271036983. Office phone: 3367683212.
What is Dr. Jennifer Waggoner's NPI?
Dr. Jennifer Waggoner's National Provider Identifier (NPI) is 1669997201, issued by NPPES.
Does Dr. Jennifer Waggoner accept Medicare assignment?
Yes. Dr. Jennifer Waggoner accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.