Individual provider Active NPI

Haley Jo Wigelsworth, APRN

  • Family Nurse Practitioner
  • Grove, OK
National Provider Identifier
1710682935
Registry record updated Jun 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
212452 Issued in OK
Practice address
601 E 13TH St Ste a
Grove, OK 74344-2962
Phone
(918) 786-9900
NPI assigned
Apr 5, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2023

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 212452 OK Primary

Addresses

Primary practice location

601 E 13TH St Ste a
Grove, OK 74344-2962

Mailing address

35650 Circle Dr
Vinita, OK 74301-7056
Phone (918) 605-2337

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20230524001895 OK Practitioner - Nurse Practitioner 9234595810 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integris Grove HospitalGroup PAC ID 0042105835, 12 clinicians

Practice addresses (Care Compare)

10 E 13TH St
Integris Express Care Grove
Grove, OK 74344-5300
Phone (918) 786-1909

216 S 7TH St
1 Integris Express Care Vinita
Vinita, OK 74301-3720
Phone (918) 256-1500

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Integris Grove Hospital CurrentSince Jun 4, 2023 Accepting new patients
Integris Grove Hospital CurrentSince Jun 4, 2023 Accepting new patients
Integris Rural Health Inc Past Accepting new patients
Saint Francis Hospital Vinita, Inc Past Accepting new patients

Locations

601 E 13th St
Ste A
Grove, OK 74344
Phone (918) 786-4914

3001 Quail Springs Pkwy
Fl 5
Oklahoma City, OK 73134

216 S 7th St
Ste 1
Vinita, OK 74301
Phone (918) 256-1500

Interoperability endpoints

  • Direct secure messaging: hwigelsworth16998@direct.integrisok.com

Organizations & group practices 4

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 5

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": "1680652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687219200000",
    "number": "1710682935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35650 CIRCLE DR",
            "city": "VINITA",
            "state": "OK",
            "postal_code": "743017056",
            "telephone_number": "918-605-2337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E 13TH ST STE A",
            "city": "GROVE",
            "state": "OK",
            "postal_code": "743442962",
            "telephone_number": "918-786-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIGELSWORTH",
        "first_name": "HALEY",
        "middle_name": "JO",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-05",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "212452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grove, OK

Sources for this page

Verify at the official NPI Registry.