Individual provider Active NPI

Tamara Wiggins, FNP

  • Family Nurse Practitioner
  • Saginaw, MI
National Provider Identifier
1255924502
Registry record updated May 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704307932 Issued in MI
Practice address
3875 Bay Rd Ste 2S
Saginaw, MI 48603-2423
Phone
(989) 583-5370
NPI assigned
Feb 18, 2021
Last updated
May 8, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2023

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 4704307932 MI Primary

Addresses

Primary practice location

3875 Bay Rd Ste 2S
Saginaw, MI 48603-2423

Mailing address

2408 Alta CT
Midland, MI 48642-5143
Phone (989) 430-0229

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20210318001611 MI Practitioner - Nurse Practitioner 8325258684 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Covenant Medical Center, Inc.Group PAC ID 2769387778, 488 clinicians

Practice addresses (Care Compare)

3875 Bay Rd
Saginaw, MI 48603-2417
Phone (989) 583-5300

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704307932MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Covenant Medical Center, Inc CurrentSince May 8, 2023 Accepting new patients
Covenant Medical Center, Inc. Current Accepting new patients

Locations

4672 Hill St
Cass City, MI 48726
Phone (989) 872-5010

1447 N Harrison St
Saginaw, MI 48602
Phone (989) 583-4220

3875 Bay Rd
Saginaw, MI 48603
Phone (989) 583-5300

3875 Bay Rd
Ste 2S
Saginaw, MI 48603
Phone (989) 583-5370

Interoperability endpoints

  • Direct secure messaging: twiggins78836@direct.covenanthealthcare.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1613606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683504000000",
    "number": "1255924502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2408 ALTA CT",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486425143",
            "telephone_number": "989-430-0229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3875 BAY RD STE 2S",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486032423",
            "telephone_number": "989-583-5370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIGGINS",
        "first_name": "TAMARA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-18",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704307932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

Verify at the official NPI Registry.