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

Jill Waggoner, DNP

Individual provider Nurse Practitioner · NPI 1710482450

Jill Waggoner, DNP is a Nurse Practitioner in Sioux Falls, South Dakota. Qualified in 2017, 9 years ago. Practices with Sanford Medical Center, a 842-clinician group, accepts Medicare assignment and offers telehealth. Licensed in South Dakota.

Years since qualifying
9
Licensed in
SD
In the registry since
2018
What do these letters mean?
DNP — Doctor of Nursing Practice
The highest clinical degree in nursing.

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Practice location Address checks out

1309 W 17th St Ste 101
Sioux Falls, SD 57104-8805
Phone: (605) 328-8000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence CP001353 (SD)

Record details

NPI number1710482450
Entity typeIndividual (Type 1)
GenderFemale
Credentials DNP
Sole proprietorYes
NPI enumeratedMarch 26, 2018
Last updated in NPPESApril 29, 2022
Certification dateApril 29, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Sanford Medical Center — 842 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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