Active NPI
Susan Wigetman, CRNA
- Certified Registered Nurse Anesthetist
- Sierra Vista, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN2263101
- Practice address
- 77 Calle Portal Ste B260
Sierra Vista, AZ 85635-2982 - Phone
- (520) 226-4338
- NPI assigned
- Mar 29, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN2263101 | MA | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | 203923 | ND |
Addresses
Primary practice location
77 Calle Portal Ste B260
Sierra Vista, AZ 85635-2982
Mailing address
77 Calle Portal Ste B260
Sierra Vista, AZ 85635-2982
Phone (520) 226-4338
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 938258 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, WY, IL, TX, FL, SD
Enrollment records 6
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1300 Miccosukee Rd
Tallahassee, FL 32308-5054
Phone (954) 939-5000
801 E Sioux Ave
Pierre, SD 57501-3323
Phone (605) 224-5901
Hospital & facility affiliations
- Avera St Mary'S Hospital
- Tallahassee Memorial Healthcare
- Sanford Medical Center Bismarck
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4239 | CA | MD | Professional Counselor |
| 1142 | WY | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Campbell County Hospital District | Current | Accepting new patients | |
| Avera St Marys | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Associated Anesthesiologists, S.C. | Current | Accepting new patients | |
| Associated Anesthesiologists, SC | Current | Accepting new patients | |
| Campbell County Hospital District | Current | Accepting new patients | |
| Campbell County Hospital District | Current | Accepting new patients | |
| Hendrick Anesthesia Network | Current | Accepting new patients | |
| Campbell County Hospital District | Current | Accepting new patients | |
| Anesthesiology Associates of Tallahassee Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesiology Associates of Tallahassee Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesiology Associates of Tallahassee Inc | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Central Mass Anesthesia Affiliates Inc. | Past | Accepting new patients | |
| Sierra Vista Pathology PC | Past | Accepting new patients |
Locations
2173 Centerville Pl
Ste A
Tallahassee, FL 32308
2626 Capital Medical Blvd
Tallahassee, FL 32308
Phone (850) 325-5000
1300 Miccosukee Rd
Tallahassee, FL 32308
Phone (850) 431-1155
2629 Welaunee Blvd
Tallahassee, FL 32308
Phone (850) 877-4688
530neglen Oak Ave
Peoria, IL 61637
Phone (309) 692-5393
6742 N Frostwood Pkwy
Peoria, IL 61615
Phone (309) 692-5393
751 N 18th St
Abilene, TX 79601
Phone (915) 676-0557
6250 US Highway 83
Abilene, TX 79606
Phone (325) 428-1010
1900 Pine St
Abilene, TX 79601
Phone (325) 670-4220
501 S Burma Ave
Gillette, WY 82716
Phone (307) 682-8811
Organizations & group practices 14
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.
-
- Anesthesiology Physician
- Tallahassee, FL
- NPI 1922772037
Nurse Anesthetist, Certified Registered
-
- General Acute Care Hospital
- Pierre, SD
- NPI 1669457180
-
- Anesthesiology Physician
- Peoria, IL
- NPI 1558306480
-
- Internal Medicine Physician
- Gillette, WY
- NPI 1710098868
-
- Specialist
- Abilene, TX
- NPI 1851394993
-
- Anesthesiology Physician
- Tallahassee, FL
- NPI 1689348799
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Peoria, IL
- NPI 1023612082
-
- Emergency Medicine Physician
- Pierre, SD
- NPI 1073305496
Nurse Anesthetist, Certified Registered
-
- Emergency Medicine Physician
- Gillette, WY
- NPI 1063575611
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Gillette, WY
- NPI 1881730141
-
- Community/Retail Pharmacy
- Gillette, WY
- NPI 1992874218
-
- Anatomic Pathology & Clinical Pathology Physician
- Sierra Vista, AZ
- NPI 1992142921
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Pierre, SD
- NPI 1669457180
-
- General Acute Care Hospital
- Bismarck, ND
- NPI 1538245634
-
- General Acute Care Hospital
- Tallahassee, FL
- NPI 1437177664
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782172800000",
"number": "1487979977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "77 CALLE PORTAL STE B260",
"city": "SIERRA VISTA",
"state": "AZ",
"postal_code": "856352982",
"telephone_number": "520-226-4338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "77 CALLE PORTAL STE B260",
"city": "SIERRA VISTA",
"state": "AZ",
"postal_code": "856352982",
"telephone_number": "520-226-4338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIGETMAN",
"first_name": "SUSAN",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-29",
"last_updated": "2026-06-23",
"certification_date": "2026-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MA",
"license": "RN2263101",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "ND",
"license": "203923",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "938258",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sierra Vista, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.