Individual provider Active NPI

Gloria Dean Wiggins-Aguilar, MSN,APRN,FNP-C

  • Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1164826558
Registry record updated Aug 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
53-75517 Issued in KS
Practice address
4055 Valley View LN Ste 700
Dallas, TX 75244-5045
Phone
(405) 459-7016
NPI assigned
Oct 15, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 53-75517 KS Primary

Addresses

Primary practice location

4055 Valley View LN Ste 700
Dallas, TX 75244-5045

Mailing address

10817 W 76TH St
Shawnee, KS 66214-2933
Phone (913) 558-8712

Other names 1

  • Mrs. Gloria Dean Wiggins Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, NM2 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
I20230830003752 KS Practitioner - Nurse Practitioner 2365805827 Reassigns benefits to 2 organizations
I20231124000347 NM Practitioner - Nurse Practitioner 2365805827 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Metro Infectious Disease Consultants LLCGroup PAC ID 3072425784, 386 clinicians

Practice addresses (Care Compare)

1201 Wakarusa Dr
Suite 4
Lawrence, KS 66049-4722
Phone (877) 448-3627

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
53-75517KSMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Infectious Disease Consultants LLC CurrentSince Oct 13, 2023 Accepting new patients
Signify Health Medical Associates of Kansas LLC CurrentSince Jul 29, 2023 Accepting new patients
Signify Health, LLC Nurse Practitioner CurrentSince Nov 1, 2023 Accepting new patients
Metro Infectious Disease Consultants, LLC Nurse Practitioner CurrentSince Oct 13, 2023 Accepting new patients

Locations

901 McClintock Dr
Ste 202
Burr Ridge, IL 60527
Phone (630) 654-4201

1201 Wakarusa Dr
Ste 4
Lawrence, KS 66049

4601 W 109th St
Ste 100
Overland Park, KS 66211
Phone (913) 491-0765

1131 SW Winding Rd
Ste 300
Topeka, KS 66615

500 Marquette Ave NW
Ste 1200
Albuquerque, NM 87102
Phone (505) 295-6685

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

4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7424

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1413331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692662400000",
    "number": "1164826558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10817 W 76TH ST",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662142933",
            "telephone_number": "913-558-8712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4055 VALLEY VIEW LN STE 700",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752445045",
            "telephone_number": "405-459-7016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIGGINS-AGUILAR",
        "first_name": "GLORIA",
        "middle_name": "DEAN",
        "name_prefix": "Mrs.",
        "credential": "MSN,APRN,FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-15",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "53-75517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GLORIA",
            "last_name": "WIGGINS",
            "middle_name": "DEAN",
            "prefix": "MRS.",
            "credential": "MSN, APRN, FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.