Individual provider Active NPI

Domenique Evette Riggle, FNP-C

  • Family Nurse Practitioner
  • Bridgeport, OH
National Provider Identifier
1093083479
Registry record updated Apr 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
12330 Issued in OH
Practice address
55741 National Rd
Bridgeport, OH 43912
Phone
(406) 354-5727
Fax
(740) 635-4575
NPI assigned
Dec 13, 2011
Last updated
Apr 5, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 70538 WV
Family Nurse Practitioner 363LF0000X 12330 OH Primary

Addresses

Primary practice location

55741 National Rd
Bridgeport, OH 43912

Mailing address

55741 National Rd
Bridgeport, OH 43912
Phone (406) 354-5727

Other identifiers 1

IdentifierTypeStateIssuer
0066619MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address driggle305503@direct.wvuhsdirect.com Health Information Exchange (HIE)

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
I20120724000558 OH Practitioner - Nurse Practitioner 8527224492 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wheeling Hospital IncGroup PAC ID 5799689493, 433 clinicians

Practice addresses (Care Compare)

222 N 5TH St
Martins Ferry, OH 43935-1582

3000 Guernsey St
Bellaire, OH 43906-1540
Phone (740) 676-4623

51339 National Rd
Saint Clairsville, OH 43950-9119
Phone (740) 695-1210

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12330OHMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Wheeling Hospital Inc CurrentSince Apr 9, 2022 Accepting new patients
Judith T Romano, M.D. Past Accepting new patients
Wheeling Hospital, Inc. Past Accepting new patients

Locations

3000 Guernsey St
Bellaire, OH 43906
Phone (740) 676-4623

51339 National Rd
St Clairsvle, OH 43950
Phone (740) 695-1210

1 Medical Park
Wheeling, WV 26003
Phone (304) 243-3124

Organizations & group practices 4

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.

Hospital & facility affiliations 6

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": "1323734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649116800000",
    "number": "1093083479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55741 NATIONAL RD",
            "city": "BRIDGEPORT",
            "state": "OH",
            "postal_code": "43912",
            "telephone_number": "406-354-5727",
            "fax_number": "740-635-4575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55741 NATIONAL RD",
            "city": "BRIDGEPORT",
            "state": "OH",
            "postal_code": "43912",
            "telephone_number": "406-354-5727",
            "fax_number": "740-635-4575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIGGLE",
        "first_name": "DOMENIQUE",
        "middle_name": "EVETTE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-13",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "70538",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "12330",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0066619",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "driggle305503@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3000 Guernsey St",
            "city": "Bellaire",
            "state": "OH",
            "country_code": "US",
            "postal_code": "439061540",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bridgeport, OH

Sources for this page

Verify at the official NPI Registry.