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

Individual provider Family Nurse Practitioner · NPI 1861886715

Kristina Waggoner, FNP is a Nurse Practitioner in Chatham, Illinois. Qualified in 2014, 12 years ago. Practices with Memorial Physician Services, a 158-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
12
Licensed in
IL
In the registry since
2015
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

101 E Plummer Blvd
Chatham, IL 62629-8047
Phone: (217) 483-3487
Fax: (217) 483-8150
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 209012659 (IL)

Record details

NPI number1861886715
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedMarch 27, 2015
Last updated in NPPESMarch 27, 2015

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Memorial Physician Services — 158 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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