Craig Angelo Wiggins, F.N.P.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP4898 Issued in AZ

Practice address

9305 W Thomas Rd Ste 305
Phoenix, AZ 85037-3366

Phone

(623) 478-8000

Fax

(623) 478-8003

NPI assigned

Apr 17, 2013

Last updated

Dec 8, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

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

Specialty

Nurse Practitioner

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Omni Dermatology IncorporatedGroup PAC ID 5698846558, 13 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

83.59 of 100Reported as group

Quality

65

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: c.wiggins@omnidermatology.emadirect.md
• FHIR API: https://api.platform.athenahealth.com/6619/brand/1/csg/1/fhir/r4

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.

• Omni Dermatology Incorporated

  • Dermatology Physician
  • Glendale, AZ
  • NPI 1003082090
  Medicare reassignment Care Compare group NPD
• R Jeffrey Herten MD Inc

  • Dermatology Physician
  • San Luis Obispo, CA
  • NPI 1730279944
  NPD (past)
• Victor R. Michalak

  dba dba Cosmetic Surgery & Dermatology of Issaquah, Inc.

  • Ambulatory Surgical Clinic/Center
  • Issaquah, WA
  • NPI 1104877976
  NPD (past)

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

{
    "created_epoch": "1366156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701993600000",
    "number": "1386088649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 E MCDOWELL RD STE 150",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850087725",
            "telephone_number": "602-954-3919",
            "fax_number": "602-954-3670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9305 W THOMAS RD STE 305",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850373366",
            "telephone_number": "623-478-8000",
            "fax_number": "623-478-8003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIGGINS",
        "first_name": "CRAIG",
        "middle_name": "ANGELO",
        "name_prefix": "Mr.",
        "credential": "F.N.P.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-17",
        "last_updated": "2023-12-08",
        "certification_date": "2023-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP4898",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "AZ",
            "license": "AP4898",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rini Wiest
• Rylee Shea Wieters
• Amy Kathryn Wifler, PA
• Gayla Wigal, MD
• Briana Elise Wiggans
• Judea P. Wiggins, MD
• Kathy Machelle Wiggins
• Laura Wiggins, LAC
• Ryan Wiggins, O.D.
• Wigs Amor, Inc.

• Family Nurse Practitioner in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.