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

Amy L Wagoner, MD

Individual provider Family Medicine Physician · NPI 1376554568

Amy L Wagoner, MD is a Family Practice in Watertown, South Dakota. Graduated from Sanford School of Medicine of University of South Dakota in 1997, 29 years ago. Offers telehealth. Licensed in South Dakota and Wisconsin.

Years since qualifying
29
Trained at
Sanford School of Medicine of University of South Dakota
Licensed in
SD, WI
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

901 4th St NW
Watertown, SD 57201-1558
Phone: (605) 886-8471
Fax: (605) 886-9317
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 8597 (SD)
Family Medicine Physician Taxonomy 207Q00000X · Licence 40276 (WI)

Record details

NPI number1376554568
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 11, 2006
Last updated in NPPESOctober 1, 2012

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolSANFORD SCHOOL OF MEDICINE OF UNIVERSITY OF SOUTH DAKOTA
Graduated 1997 (29 years in practice)
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

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