Individual provider Active NPI

Pamela Michele Ritter Wiggs, ARNP

  • Adult Health Nurse Practitioner
  • Keystone Heights, FL
National Provider Identifier
1700890175
Registry record updated Aug 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
ARNP1427272 Issued in FL
Practice address
175 N Lawrence Blvd
Keystone Heights, FL 32656-9351
Phone
(352) 473-3199
Fax
(352) 473-4199
NPI assigned
Jul 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X ARNP1427272 FL Primary

Addresses

Primary practice location

175 N Lawrence Blvd
Keystone Heights, FL 32656-9351

Mailing address

345 W Madison St
Starke, FL 32091-3923
Phone (904) 964-5455

Other practice location 1

1600 Archer Rd D1-121
Gainesville, FL 31610
Phone (352) 265-8989

Other identifiers 1

IdentifierTypeStateIssuer
020200100MedicaidFL

Other names 1

  • Pamela Michele Ritter 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
I20100803001337 FL Practitioner - Nurse Practitioner 7911030549 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
May accept Medicare assignment
Group practices
Starke Family Medical Center IncGroup PAC ID 0143207704, 13 clinicians
Lake Area Physical Therapy Inc.Group PAC ID 3678604840, 372 clinicians

Practice addresses (Care Compare)

175 N Lawrence Blvd
Keystone Heights, FL 32656-9351
Phone (352) 473-3199

PO Box
Suite 1099
Melrose, FL 32666-1099

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Starke Family Medical Center Inc CurrentSince Aug 15, 2025 Accepting new patients

Locations

175 N Lawrence Blvd
Keystone Heights, FL 32656
Phone (352) 473-3199

175 S Lawrence Blvd
Keystone Heights, FL 32656

100 S Lawrence Blvd
Keystone Hgts, FL 32656
Phone (352) 473-9373

345 W Madison St
Starke, FL 32091
Phone (904) 964-5455

Interoperability endpoints

  • Direct secure messaging: pamela.ritter.wiggs.1@16275.direct.athenahealth.com

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 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": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754265600000",
    "number": "1700890175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 W MADISON ST",
            "city": "STARKE",
            "state": "FL",
            "postal_code": "320913923",
            "telephone_number": "904-964-5455",
            "fax_number": "904-964-4099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 N LAWRENCE BLVD",
            "city": "KEYSTONE HEIGHTS",
            "state": "FL",
            "postal_code": "326569351",
            "telephone_number": "352-473-3199",
            "fax_number": "352-473-4199"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 Archer Rd D1-121",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "FL",
            "postal_code": "31610",
            "country_code": "US",
            "telephone_number": "352-265-8989",
            "fax_number": "352-265-8968",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RITTER WIGGS",
        "first_name": "PAMELA",
        "middle_name": "MICHELE",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-28",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "ARNP1427272",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "020200100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAMELA",
            "last_name": "RITTER",
            "middle_name": "MICHELE",
            "credential": "ARNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Keystone Heights, FL

Sources for this page

Verify at the official NPI Registry.