Kourtney Lenea Waggoner, PA
Physician Assistant · Kenmore, NY
Kourtney Lenea Waggoner, PA is a physician assistant with a practice address in Kenmore, New York, and NPI 1265997191, issued on Feb 5, 2019. Check the license (New York 023195, as entered in NPPES) with the New York board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Kourtney Lenea Waggoner
- Credential
- PA
- Primary taxonomy
- Physician Assistant 363A00000X
- License number
- 023195 NY
Self-reported in NPPES; status is on the state search - Practice location
- 2950 Elmwood Ave Ste A1, Kenmore, NY 14217
- Phone
- (716) 529-3070
- Enumerated
- Feb 5, 2019
- Record last updated
- Feb 5, 2019 (not updated in 7 years: call before relying on the address or phone)
- Fax
- (716) 529-3071
- Medicare enrollment
- Enrolled (PECOS I20190306002834); accepts Medicare assignment
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
Also registered at 2950 Elmwood Ave Ste A1
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Megan Gerwitz, AGNP-CNurse Practitioner1609632926
- Stuart Nocera, PA-CMedical Physician Assistant1972261469
Verify Kourtney Lenea Waggoner in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich New York board licenses this profession
Search for license 023195Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Wellnow Urgent Care, P.C.Newburgh, NY
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
14 physician assistant records list a practice address in Kenmore
They are 14 of the 974 NPPES records with a practice address in Kenmore, and 15,555 physician assistant records in New York.
All 14 in Kenmore → All 15,555 in New York → Every provider in Kenmore →
Other physician assistant records in New York
- Brynn Aakjar, P.A.Yonkers, NY1447592456
- Andrea Aaron, PABronx, NY1427103555
- Gabriella AaronCentral Islip, NY1790605376
- Danielle AaronsSmithtown, NY1881207520
- John AbadeerBrooklyn, NY1801434949
- Zenebou Abalo-Toga, PANew York, NY1124556154
- Kevin Alfred Abalos, PA-CCambria Heights, NY1700286424
- Clarisse AbanillaNew York, NY1598445579
- Vincent Abanilla, PA-CBrooklyn, NY1366201808
- Marie Abate, PA-CValhalla, NY1285225524
Common questions
What is Kourtney Lenea Waggoner, PA's NPI number?
Kourtney Lenea Waggoner, PA's National Provider Identifier (NPI) is 1265997191, issued on Feb 5, 2019. An NPI identifies a provider in billing; it is not a license.
Where is Kourtney Lenea Waggoner, PA located?
The NPPES record lists a practice address at 2950 Elmwood Ave Ste A1, Kenmore, NY, 14217. Phone: (716) 529-3070. Providers update this record themselves, so call before visiting.
How can I verify Kourtney Lenea Waggoner, PA's license?
NPPES lists New York license number 023195, as entered by the provider. Search the New York board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.