Individual provider Active NPI

Anna Elizabeth Wiygul, FNP-BC

  • Family Nurse Practitioner
  • Oxford, MS
National Provider Identifier
1619496403
Registry record updated Jun 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
902305 Issued in MS
Practice address
504 Azalea Dr Ste a
Oxford, MS 38655-5397
Phone
(662) 636-4444
NPI assigned
Sep 13, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 902305 MS Primary

Addresses

Primary practice location

504 Azalea Dr Ste a
Oxford, MS 38655-5397

Mailing address

965 Ridge Lake Blvd Ste 103
Memphis, TN 38120-9446

Other names 1

  • Anna Elizabeth Hillman Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20171106002198 MS Practitioner - Nurse Practitioner 5597021691 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

200 Hwy 30 W
New Albany, MS 38652-3112
Phone (601) 534-7631

504 Azalea Dr
Suite a
Oxford, MS 38655-5397
Phone (662) 636-4444

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.54 of 100Reported as group
Quality
71.01
Promoting interoperability
100
Improvement activities
40
Cost
58.38

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
902305MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Memorial Hospital Union County, Inc. CurrentSince Jun 1, 2021 Accepting new patients
Baptist Memorial Medical Group Inc CurrentSince Jan 1, 2020 Accepting new patients
Baptist Memorial Hospital North Mississippi, Inc CurrentSince Jan 1, 2019 Accepting new patients
Baptist Memorial Medical Group Inc CurrentSince Jan 1, 2020 Accepting new patients
Baptist Memorial Hospital North Mississippi, Inc CurrentSince Jan 1, 2019 Accepting new patients

Locations

255 Baptist Blvd
Ste 301
Columbus, MS 39705
Phone (662) 244-2288

200 State Highway 30 W
New Albany, MS 38652
Phone (601) 534-7631

504 Azalea Dr
Ste A
Oxford, MS 38655
Phone (662) 236-7738

1100 Belk Blvd
Oxford, MS 38655
Phone (662) 636-1000

2301 S Lamar Blvd
Oxford, MS 38655
Phone (662) 232-8369

965 Ridge Lake Blvd
Ste 103
Memphis, TN 38120
Phone (901) 227-3221

Organizations & group practices 5

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.

Hospital & facility affiliations 2

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": "1505260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624406400000",
    "number": "1619496403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "965 RIDGE LAKE BLVD STE 103",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381209446",
            "fax_number": "901-227-8591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 AZALEA DR STE A",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386555397",
            "telephone_number": "662-636-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIYGUL",
        "first_name": "ANNA",
        "middle_name": "ELIZABETH",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-13",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "902305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNA",
            "last_name": "HILLMAN",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oxford, MS

Sources for this page

Verify at the official NPI Registry.