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

Caleb Mark Wagoner, FNP-C

Individual provider Nurse Practitioner · NPI 1962365494

Caleb Mark Wagoner, FNP-C is a Nurse Practitioner in Medford, Oregon. Qualified in 2025, 1 year ago. Practices with Asante Three Rivers Medical Center LLC, a 97-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
1
Licensed in
OR
In the registry since
2025
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

2825 E Barnett Rd
Medford, OR 97504-8332
Phone: (541) 789-4230
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 10049367 (OR)

Record details

NPI number1962365494
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedDecember 3, 2025
Last updated in NPPESDecember 3, 2025
Certification dateDecember 2, 2025
Mailing address2825 E Barnett Rd, Medford, OR 97504-8332

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Asante Three Rivers Medical Center Llc — 97 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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