Active NPI
Tessa Ehlers Wigger, M.D.
- Family Medicine Physician
- Valrico, FL
National Provider Identifier
1497919344
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME110777
- Practice address
- 2470 Bloomingdale Ave Ste 260
Valrico, FL 33596-6403 - Phone
- (813) 725-7220
- Fax
- (813) 725-7221
- NPI assigned
- Jul 10, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME110777 | FL | Primary |
Addresses
Primary practice location
2470 Bloomingdale Ave Ste 260
Valrico, FL 33596-6403
Mailing address
2675 Winkler Ave FL 2
Fort Myers, FL 33901-9342
Phone (877) 856-3774
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14H08 | Other | FL | BCBS |
| JO807 | Other | FL | MEDICARE |
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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110930000321 | FL | Practitioner - Family Practice | 9436347945 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of South Alabama College of Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Millennium Physician Group LLC
Practice addresses (Care Compare)
2237 Lithia Ctr LN
Valrico, FL 33596-5676
Phone (813) 662-0123
Hospital & facility affiliations
- St Josephs Hospital
- South Florida Baptist Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME110777 | FL | MD | Family Medicine Physician |
Practice roles (1 of 3)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Uhs Ventures | Past | Accepting new patients |
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- tessa.wigger.1@4290.direct.athenahealth.com
Organizations & group practices 3
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.
-
- Community/Retail Pharmacy
- Port Charlotte, FL
- NPI 1538509278
-
- Urgent Care Clinic/Center
- Sevierville, TN
- NPI 1235669680
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Plant City, FL
- NPI 1548205883
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705017600000",
"number": "1497919344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2675 WINKLER AVE FL 2",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339019342",
"telephone_number": "877-856-3774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2470 BLOOMINGDALE AVE STE 260",
"city": "VALRICO",
"state": "FL",
"postal_code": "335966403",
"telephone_number": "813-725-7220",
"fax_number": "813-725-7221"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIGGER",
"first_name": "TESSA",
"middle_name": "EHLERS",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-10",
"last_updated": "2024-01-12",
"certification_date": "2024-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME110777",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "14H08",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "JO807",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Valrico, FL
- Welcoming Acceptance and Resilience Through Intensive Outpatient Recovery, LLC.
- William L Werden Jr., D.O.
- West Coast Dental Partners
- Jenna West
- Westchase Anesthesia PLLC
- Renaye Wiggings
- Will O. Deliz DMD, Inc
- Mary Chynne Williams-Ketter
- Areline Louise Williams, LPN, CD(DONA), CCE
- Ellouise Eileen Williams, MSW, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2024; 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.