Individual provider Active NPI

Nathan Andrew Wigner, MD

  • Orthopaedic Surgery Physician
  • Las Cruces, NM
National Provider Identifier
1609137504
Registry record updated Jun 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
MD2022-1319 Issued in NM
Practice address
4351 E Lohman Ave Ste 301
Las Cruces, NM 88011-8262
Phone
(575) 532-9755
Fax
(575) 532-8881
NPI assigned
Jun 6, 2012
Last updated
Jun 3, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X V3732 TX
Orthopaedic Surgery Physician 207X00000X MD2022-1319 NM Primary
Orthopaedic Surgery of the Spine Physician 207XS0117X MD60738147 WA
Orthopaedic Trauma Physician 207XX0801X MD2022-1319 NM

Addresses

Primary practice location

4351 E Lohman Ave Ste 301
Las Cruces, NM 88011-8262

Mailing address

4030 Sommerset Arc
Las Cruces, NM 88011-1717
Phone (206) 819-5461

Other practice location 1

820 E Redd Rd Bldg B
El Paso, TX 79912-7275
Phone (915) 581-0712

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nathan.wigner.1@1928.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200507003226 SC Practitioner - Orthopedic Surgery 7911204714 Reassigns benefits to 2 organizations
I20250319000025 TX Practitioner - Orthopedic Surgery 7911204714 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Boston University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sun City Orthopaedic and Hand Surgery Specialists PLLCGroup PAC ID 4587827506, 14 clinicians

Practice addresses (Care Compare)

820 E Redd Rd
BLDG B
El Paso, TX 79912-7275
Phone (915) 581-0712

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.53 of 100Reported as apm
Quality
79.07
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD60738147WAMDOrthopaedic Surgery of the Spine Physician
MD2022-1319NMMDOrthopaedic Trauma Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sun City Orthopaedic & Hand Surgery Specialists PLLC Orthopaedic Surgery CurrentSince Mar 3, 2025 Accepting new patients
Coastal Plains Physician Associates CurrentSince Jun 20, 2020 Accepting new patients
Hampton Regional Medical Center Current Accepting new patients
Eric Sides, M.D., PA Orthopaedic Surgery CurrentSince Mar 3, 2025 Accepting new patients
Hampton Regional Medical Center CurrentSince Jun 20, 2020 Accepting new patients
Familycare Associates,PA Past Accepting new patients

Locations

595 W Carolina Ave
Varnville, SC 29944
Phone (803) 943-1221

1387 George Dieter Dr
Ste 106D
El Paso, TX 79936
Phone (915) 581-0712

1400 George Dieter Dr
Ste 100
El Paso, TX 79936
Phone (915) 247-3150

820 E Redd Rd
Bldg B
El Paso, TX 79912
Phone (915) 581-0712

Interoperability endpoints

  • Direct secure messaging: nathan.wigner.1@1928.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1338940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748908800000",
    "number": "1609137504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4030 SOMMERSET ARC",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880111717",
            "telephone_number": "206-819-5461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4351 E LOHMAN AVE STE 301",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880118262",
            "telephone_number": "575-532-9755",
            "fax_number": "575-532-8881"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "820 E Redd Rd Bldg B",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799127275",
            "country_code": "US",
            "telephone_number": "915-581-0712",
            "fax_number": "915-533-8680",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIGNER",
        "first_name": "NATHAN",
        "middle_name": "ANDREW",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-06",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "V3732",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NM",
            "license": "MD2022-1319",
            "primary": true
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "WA",
            "license": "MD60738147",
            "primary": false
        },
        {
            "code": "207XX0801X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Trauma",
            "state": "NM",
            "license": "MD2022-1319",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nathan.wigner.1@1928.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "4351 E Lohman Ave Ste 301",
            "city": "Las Cruces",
            "state": "NM",
            "country_code": "US",
            "postal_code": "880118262",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

Verify at the official NPI Registry.