Individual provider Active NPI

Casey Wiggins

  • Family Nurse Practitioner
  • Knightdale, NC
National Provider Identifier
1336605039
Registry record updated May 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5011475 Issued in NC
Practice address
7201 US Highway 64 E
Juniata Valley Medical Center
Knightdale, NC 27545-9268
Phone
(866) 389-2727
NPI assigned
Feb 18, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2021

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 5011475 NC Primary

Addresses

Primary practice location

7201 US Highway 64 E
Juniata Valley Medical Center
Knightdale, NC 27545-9268

Mailing address

2316 13TH St
Juniata Valley Medical Center
Altoona, PA 16601-3018

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address upmchospitals@upmcdirect.com UPMC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, VA2 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
I20210414000461 PA Practitioner - Nurse Practitioner 3375884455 Reassigns benefits to 1 organization
I20220401000335 VA Practitioner - Nurse Practitioner 3375884455 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5011475NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
True North Health Navigation LLC CurrentSince Nov 27, 2021 Accepting new patients
True North Health Navigation LLC CurrentSince Sep 1, 2023 Accepting new patients
Brian Dena DO LLC CurrentSince Aug 10, 2024 Accepting new patients
Upmc Altoona Regional Health Services, Inc CurrentSince Feb 1, 2021 Accepting new patients
Bon Secours Urgent Care LLC CurrentSince Sep 10, 2023 Accepting new patients
Upmc Altoona Regional Health Services, Inc CurrentSince Feb 1, 2021 Accepting new patients

Locations

3827 N Lafayette St
Denver, CO 80205
Phone (303) 898-9230

4220 Apex Hwy
Ste 160
Durham, NC 27713
Phone (919) 897-8784

846 Medical Center Dr
Alexandria, PA 16611
Phone (814) 667-7400

1414 9th Ave
Altoona, PA 16602
Phone (814) 949-7621

9851 Brook Rd
Glen Allen, VA 23059
Phone (804) 893-8702

95 Medical Park Blvd
Petersburg, VA 23805
Phone (336) 816-2589

7200 Glen Forest Dr
Ste 106
Richmond, VA 23226
Phone (804) 495-0053

Organizations & group practices 6

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": "1550448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621814400000",
    "number": "1336605039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2316 13TH ST",
            "address_2": "JUNIATA VALLEY MEDICAL CENTER",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166013018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7201 US HIGHWAY 64 E",
            "address_2": "JUNIATA VALLEY MEDICAL CENTER",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275459268",
            "telephone_number": "866-389-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIGGINS",
        "first_name": "CASEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-18",
        "last_updated": "2021-05-24",
        "certification_date": "2021-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5011475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "upmchospitals@upmcdirect.com",
            "affiliation": "Y",
            "affiliationName": "UPMC",
            "address_1": "600 Grant St",
            "address_2": "Floor 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Knightdale, NC

Sources for this page

Verify at the official NPI Registry.