Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Amber Leia Waggoner, NP

Individual provider Family Nurse Practitioner · NPI 1083483713

Amber Leia Waggoner, NP is a Nurse Practitioner in Portland, Texas. Qualified in 2023, 3 years ago. Practices with Wellmed Medical Group PA, a 664-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Texas.

Years since qualifying
3
Licensed in
TX
In the registry since
2023
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

2413 Memorial Pkwy
Portland, TX 78374-3209
Phone: (361) 643-4546
Fax: (361) 758-2137
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 1145675 (TX)

Record details

NPI number1083483713
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedDecember 21, 2023
Last updated in NPPESDecember 16, 2025
Certification dateDecember 16, 2025
Mailing address2413 Memorial Pkwy, Portland, TX 78374-3209

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Wellmed Medical Group Pa — 664 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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