Individual provider Active NPI

Phylicia Wiggins-Hutchinson

  • Internal Medicine Physician
  • Melbourne, FL
National Provider Identifier
1396623146
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
APRN11041228 Issued in FL
Practice address
948 S Wickham Rd
Melbourne, FL 32904-1647
Phone
(321) 956-7370
NPI assigned
Aug 21, 2025
Last updated
Aug 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X APRN11041228 FL Primary

Addresses

Primary practice location

948 S Wickham Rd
Melbourne, FL 32904-1647

Mailing address

948 S Wickham Rd
Melbourne, FL 32904-1647
Phone (321) 956-7370

Other names 1

  • Phylicia Wiggins Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20251120002378 FL Practitioner - Nurse Practitioner 5991297608 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

895 11TH St SW
Vero Beach, FL 32962-5554

948 S Wickham Rd
Suite 103
West Melbourne, FL 32904-1647

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11041228FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baba Healthcare, Inc. Internal Medicine CurrentSince Oct 6, 2025 Accepting new patients
Baba Healthcare PastSince Aug 25, 2025 Accepting new patients

Locations

948 S Wickham Rd
Ste 103
West Melbourne, FL 32904
Phone (321) 956-7370

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 1

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": "1755734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755734400000",
    "number": "1396623146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "948 S WICKHAM RD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329041647",
            "telephone_number": "321-956-7370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "948 S WICKHAM RD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329041647",
            "telephone_number": "321-956-7370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIGGINS-HUTCHINSON",
        "first_name": "PHYLICIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-21",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "APRN11041228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PHYLICIA",
            "last_name": "WIGGINS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.