Nicole Wiggins, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN11023496 Issued in FL

Practice address

4311 Norfolk Pkwy Ste 114
West Melbourne, FL 32904-8617

Phone

(321) 341-3321

NPI assigned

May 24, 2021

Last updated

Oct 22, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

93.35 of 100Reported as group

Quality

87.13

Promoting interoperability

100

Improvement activities

40

Cost

74.03

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Independent Lung Associates, PA

  • Pulmonary Disease Physician
  • Melbourne, FL
  • NPI 1912928045

  Multi-Specialty

  Medicare reassignment NPD
• Care 2 U Medical Services

  • Urgent Care Clinic/Center
  • New Bern, NC
  • NPI 1528495421
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1621814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1013582899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4311 NORFOLK PKWY STE 114",
            "city": "WEST MELBOURNE",
            "state": "FL",
            "postal_code": "329048617",
            "telephone_number": "321-341-3321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4311 NORFOLK PKWY STE 114",
            "city": "WEST MELBOURNE",
            "state": "FL",
            "postal_code": "329048617",
            "telephone_number": "321-341-3321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIGGINS",
        "first_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-24",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5014454",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11023496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Weissman, PHD, RD, LDN
• West Melbourne I Al Opco, LLC (Trustwell Living at West Melbourne)
• West Melbourne II Al Opco, LLC (Trustwell Living at West Melbourne)
• West Melbourne MC Opco, LLC (Trustwell Living at West Melbourne)
• Lisa Whitmore
• Wildflower Behavioral Consulting, LLC.
• Nicole Marie Wilkinson, DPT
• William D. Tanke, OD, PA
• Ashley Nicole Williams, APRN, FNP-C
• Yanna Wills, APRN

• Family Nurse Practitioner in West Melbourne, FL
• Providers in West Melbourne, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.