Individual provider Active NPI

Angela M Wiggins, APRN CNP

  • Family Nurse Practitioner
  • Tahlequah, OK
National Provider Identifier
1114424942
Registry record updated Apr 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R0075741 Issued in OK
Practice address
1500 E Downing St Ste 214
Tahlequah, OK 74464
Phone
(918) 413-0202
Fax
(918) 413-0203
NPI assigned
Apr 9, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R0075741 OK Primary

Addresses

Primary practice location

1500 E Downing St Ste 214
Tahlequah, OK 74464

Mailing address

1717 S Utica Ave
Ste a
Tulsa, OK 74104-5346
Phone (918) 772-3390

Other practice location 1

1261 E Tulsa Ave
Kansas, OK 74347-7026
Phone (918) 868-2175

Other practice location 2

1261 E Tulsa Ave
Kansas, OK 74347-7026
Phone (918) 868-2175

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180515000077 OK Practitioner - Nurse Practitioner 3678837952 Reassigns benefits to 3 organizations
I20190919000387 TX Practitioner - Nurse Practitioner 3678837952 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cherokee NationGroup PAC ID 5799698742, 446 clinicians

Practice addresses (Care Compare)

100 S Bliss Ave
Tahlequah, OK 74464-2512
Phone (918) 458-3100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.4 of 100Reported as group
Quality
72.78
Promoting interoperability
98
Improvement activities
40
Cost
76.77

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R0075741OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cherokee Nation CurrentSince Aug 1, 2019 Accepting new patients
Northeastern Oklahoma Community Health Centers Inc CurrentSince Nov 28, 2018 Accepting new patients
Cherokee Nation Current Accepting new patients
Northeastern Oklahoma Community Health Centers Inc CurrentSince Nov 28, 2018 Accepting new patients
Cherokee Nation Current Accepting new patients
Cherokee Nation Current Accepting new patients
Cherokee Nation Current Accepting new patients
St John Urgent Care Clinics Inc CurrentSince Jul 6, 2020 Accepting new patients
Signify Health, LLC CurrentSince Nov 7, 2023 Accepting new patients
Cherokee Nation CurrentSince Aug 1, 2019 Accepting new patients

Locations

101 S Moore Ave
Claremore, OK 74017
Phone (918) 342-6200

124 E Main St
Hulbert, OK 74441
Phone (918) 772-2879

859 E Melton Dr
Jay, OK 74346
Phone (918) 253-4271

1001 S 41st St E
Muskogee, OK 74403
Phone (918) 687-0201

1001 S 41st St E
#3
Muskogee, OK 74403
Phone (918) 687-0201

1020 Lenape Dr
Nowata, OK 74048
Phone (918) 273-0192

395200 W 2900 Rd
Ochelata, OK 74051
Phone (918) 535-6000

10601 S Western Ave
Ste 100
Oklahoma City, OK 73170

821 Amohi Ln
Salina, OK 74365
Phone (918) 434-8500

900 N Owen Walters Blvd
Salina, OK 74365
Phone (918) 434-8500

301 S J T Stites St
Sallisaw, OK 74955
Phone (918) 774-1400

471688 Highway 51
Stilwell, OK 74960

100 S Bliss Ave
Tahlequah, OK 74464
Phone (918) 458-3100

1500 E Downing St
Ste 214
Tahlequah, OK 74464
Phone (918) 413-0202

19600 E Ross St
Tahlequah, OK 74464
Phone (539) 234-1000

1500 E Downing St
Ste 201
Tahlequah, OK 74464
Phone (918) 772-3390

Dept 2269
Tulsa, OK 74182

1717 S Utica Ave
Ste A
Tulsa, OK 74104
Phone (918) 748-1300

27371 S 4410 Rd
Vinita, OK 74301
Phone (918) 256-4800

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 10

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 2

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": "1523232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587340800000",
    "number": "1114424942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 S UTICA AVE",
            "address_2": "STE A",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741045346",
            "telephone_number": "918-772-3390",
            "fax_number": "918-868-2944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 E DOWNING ST STE 214",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "74464",
            "telephone_number": "918-413-0202",
            "fax_number": "918-413-0203"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1261 E Tulsa Ave",
            "address_purpose": "LOCATION",
            "city": "Kansas",
            "state": "OK",
            "postal_code": "743477026",
            "country_code": "US",
            "telephone_number": "918-868-2175",
            "fax_number": "918-868-2944",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1261 E Tulsa Ave",
            "address_purpose": "LOCATION",
            "city": "Kansas",
            "state": "OK",
            "postal_code": "743477026",
            "country_code": "US",
            "telephone_number": "918-868-2175",
            "fax_number": "918-868-2944",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIGGINS",
        "first_name": "ANGELA",
        "middle_name": "M",
        "credential": "APRN CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-09",
        "last_updated": "2020-04-20",
        "certification_date": "2020-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "R0075741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tahlequah, OK

Sources for this page

Verify at the official NPI Registry.