Active NPI
Michael Eugene Wigle, N.P.
- Nurse Practitioner
- Post Falls, ID
National Provider Identifier
1003245044
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- NP-1346A
- Practice address
- 925 E Polston Ave
Post Falls, ID 83854-9049 - Phone
- (208) 618-0787
- Fax
- (208) 618-0796
- NPI assigned
- Nov 8, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | NP-1346A | ID | Primary |
Addresses
Primary practice location
925 E Polston Ave
Post Falls, ID 83854-9049
Mailing address
925 E Polston Ave
Post Falls, ID 83854-9049
Phone (208) 618-0787
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP-1346A | ID | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1003245044",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "925 E POLSTON AVE",
"city": "POST FALLS",
"state": "ID",
"postal_code": "838549049",
"telephone_number": "208-618-0787",
"fax_number": "208-618-0796"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "925 E POLSTON AVE",
"city": "POST FALLS",
"state": "ID",
"postal_code": "838549049",
"telephone_number": "208-618-0787",
"fax_number": "208-618-0796"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIGLE",
"first_name": "MICHAEL",
"middle_name": "EUGENE",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-11-08",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "ID",
"license": "NP-1346A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Post Falls, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.