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

Heather Waghelstein, ANP

Individual provider Gerontology Nurse Practitioner · NPI 1396170510

Heather Waghelstein, ANP is a Nurse Practitioner in Fort Defiance, Arizona. Qualified in 2013, 13 years ago. Practices with Chugachmiut, a 7-clinician group and accepts Medicare assignment. Licensed in Alaska.

Years since qualifying
13
Licensed in
AK
In the registry since
2013
Specialties on file
3

Practice location Address checks out

Corner Of Route N12 And N7
Fort Defiance, AZ 86504
Phone: (928) 729-8000
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 216266 (AK)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 216266 (AK)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 216266 (AK)

Record details

NPI number1396170510
Entity typeIndividual (Type 1)
GenderFemale
Credentials ANP
Sole proprietorNo
NPI enumeratedSeptember 6, 2013
Last updated in NPPESMay 21, 2026
Certification dateMay 21, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Chugachmiut — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare