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

Haley Wagoner

Individual provider Surgical Physician Assistant · NPI 1578125506

Haley Wagoner is a Physician Assistant in Soldotna, Alaska. Qualified in 2019, 7 years ago. Practices with Central Peninsula General Hospital Inc, a 122-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Alaska.

Years since qualifying
7
Licensed in
AK
In the registry since
2019

Practice location Address checks out

240 Hospital Pl Ste 305
Soldotna, AK 99669-7559
Phone: (907) 714-4130
Fax: (844) 412-3946
Show map & directions

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

Additional practice locations (1)

  • 46861 Mooseberry Ave, Kenai, AK 99611-5926 — (817) 262-3405

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X (AK)

Record details

NPI number1578125506
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 29, 2019
Last updated in NPPESFebruary 28, 2022
Certification dateFebruary 28, 2022
Mailing address250 Hospital Pl, Soldotna, AK 99669-7559

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Central Peninsula General Hospital Inc — 122 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare