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

Mr. Brian George Wagoner, RN, FNPBC

Individual provider Family Nurse Practitioner · NPI 1306083480

Mr. Brian George Wagoner, RN, FNPBC is a Nurse Practitioner in Springfield, Missouri. Qualified in 2008, 18 years ago. Practices with Mercy Clinic Springfield Communities, a 1,126-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Missouri.

Years since qualifying
18
Licensed in
MO
In the registry since
2009
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

1235 E Cherokee St
Springfield, MO 65804-2203
Phone: (417) 820-9729
Fax: (417) 820-6471
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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 155580 (MO)

Record details

NPI number1306083480
Entity typeIndividual (Type 1)
GenderMale
Credentials RN , FNPBC
Sole proprietorNo
NPI enumeratedJanuary 12, 2009
Last updated in NPPESJune 10, 2009

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Mercy Clinic Springfield Communities — 1126 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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