Amber Leia Waggoner, NP

Nurse practitioner in Portland, Texas · NPI 1083483713

Amber Waggoner is one of 18 nurse practitioners practicing in Portland, Texas. Amber Waggoner practices with Wellmed Medical Group PA.

Registry record (NPPES)

NPI
1083483713
Type
Type 1 · Individual
Primary taxonomy
Nurse Practitioner, Family · 363LF0000X
Address on file
2413 Memorial Pkwy
Portland, TX 78374-3209
(361) 643-4546
Enumerated
Dec 21, 2023
Record last updated
Dec 16, 2025
License states listed
TX

Medicare (CMS)

Enrollment
Medicare-enrolled in TX
Nurse Practitioner
Revalidation due
No date set by CMS

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Practice locations

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Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.