Individual provider Active NPI

Sandra Wigen, CNP

  • Obstetrics & Gynecology Nurse Practitioner
  • Columbus, OH
National Provider Identifier
1043210990
Registry record updated Aug 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
RN200521 Issued in OH
Practice address
6075 E Broad St
Columbus, OH 43213-1549
Phone
(614) 434-2400
Fax
(614) 434-2499
NPI assigned
Jul 21, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X NP01913 OH
Obstetrics & Gynecology Nurse Practitioner 363LX0001X RN200521 OH Primary

Addresses

Primary practice location

6075 E Broad St
Columbus, OH 43213-1549

Mailing address

1125 Yard St
Ste 200
Grandview Heights, OH 43212-3930
Phone (614) 434-2400

Other identifiers 1

IdentifierTypeStateIssuer
2077603MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20050503000130 OH Practitioner - Nurse Practitioner 1850330465 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Columbus Obstetricians - Gynecologists, Inc.Group PAC ID 5597666453, 27 clinicians

Practice addresses (Care Compare)

150 Taylor Station Rd
Suite 300
Columbus, OH 43213-4440
Phone (614) 434-2400

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP01913OHMDObstetrics & Gynecology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Columbus Obstetricians - Gynecologists, Inc. CurrentSince Jun 1, 1999 Accepting new patients
Columbus Obstetricians - Gynecologists, Inc. Past Accepting new patients

Locations

150 Taylor Station Rd
Ste 300
Columbus, OH 43213
Phone (614) 434-2444

6075 E Broad St
Columbus, OH 43213
Phone (614) 759-8660

775 W Broad St
Ste 200
Columbus, OH 43222
Phone (614) 627-1610

1125 Yard St
#200
Columbus, OH 43212

1125 Yard St
Ste 200
Grandview Heights, OH 43212
Phone (614) 434-2421

160 W Main St
Ste 220
New Albany, OH 43054
Phone (614) 855-7933

1797 Hill Rd N
Ste 100
Pickerington, OH 43147
Phone (614) 533-6650

641 Hill Rd N
Ste C
Pickerington, OH 43147
Phone (614) 837-9015

1797 Hill Rd N
Unit 2
Pickerington, OH 43147

Organizations & group practices 2

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

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565568000000",
    "number": "1043210990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 YARD ST",
            "address_2": "STE 200",
            "city": "GRANDVIEW HEIGHTS",
            "state": "OH",
            "postal_code": "432123930",
            "telephone_number": "614-434-2400",
            "fax_number": "614-434-2499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6075 E BROAD ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432131549",
            "telephone_number": "614-434-2400",
            "fax_number": "614-434-2499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIGEN",
        "first_name": "SANDRA",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-21",
        "last_updated": "2019-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "OH",
            "license": "NP01913",
            "primary": false
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "OH",
            "license": "RN200521",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2077603",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.