Shelby Wigginton

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

E-16541 Issued in AR

Practice address

2708 S Rife Medical LN Ste 130
Rogers, AR 72758-1455

Phone

(479) 338-5555

Fax

(479) 338-5533

NPI assigned

Jun 11, 2018

Last updated

Aug 8, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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 AR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Mercy Health Northwest Arkansas Communities

  • Multi-Specialty Clinic/Center
  • Rogers, AR
  • NPI 1265490916
  Medicare reassignment NPD
• Mercy Health Northwest Arkansas Communities

  • Endocrinology, Diabetes & Metabolism Physician
  • Rogers, AR
  • NPI 1770087371
  NPD
• Sioux Valley Memorial Hospital Association

  dba Cherokee Regional Clinic - Aurelia

  • Family Medicine Physician
  • Aurelia, IA
  • NPI 1083610190
  NPD
• Sioux Valley Memorial Hospital Association

  dba Cherokee Regional Medical Center - CRNA

  • Certified Registered Nurse Anesthetist
  • Cherokee, IA
  • NPI 1275500704
  NPD
• Sioux Valley Memorial Hospital Association

  dba Cherokee Regional Clinic

  • Family Medicine Physician
  • Cherokee, IA
  • NPI 1881758761
  NPD

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

{
    "created_epoch": "1528675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691452800000",
    "number": "1083107452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776084",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776084",
            "telephone_number": "314-543-6979",
            "fax_number": "314-364-6321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2708 S RIFE MEDICAL LN STE 130",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727581455",
            "telephone_number": "479-338-5555",
            "fax_number": "479-338-5533"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1010 N Kansas St",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672143124",
            "country_code": "US",
            "telephone_number": "316-858-3460",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIGGINTON",
        "first_name": "SHELBY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-11",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "94-09485",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E-16541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lighla Whitson, M.S., CF-SLP
• Michelle Cherie Wieneke, APRN
• Bradley Wierda, CRNA
• Jeanie Marie Wiertzema, P.T.
• Angela Wieser
• William C. Wigington, D.O.
• Catherine Lynnette Wikoff, MD
• Wild Fig, PLLC (Haelan Psychiatry & Wellness)
• Anna Wilkerson
• Annesa Wilkins

• Family Medicine Physician in Rogers, AR
• Providers in Rogers, AR by specialty
• Family Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.