Active NPI
Lisa Speaks Wiggins, CRNA
- Certified Registered Nurse Anesthetist
- Monroe, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 048600
- Practice address
- 600 Hospital Dr
Monroe, NC 28112-6000 - Phone
- (704) 283-3179
- Fax
- (704) 226-5800
- NPI assigned
- Oct 27, 2006
- 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 048600 | NC | Primary |
Addresses
Primary practice location
600 Hospital Dr
Monroe, NC 28112-6000
Mailing address
600 Hospital Dr
Monroe, NC 28112-6000
Phone (704) 283-3179
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8050986 | Medicaid | NC | |
| NAN265 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041124000148 | NC | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 6608831128 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
317 Western Boulevard
Jacksonville, NC 28546-6338
Phone (910) 577-2345
Hospital & facility affiliations
- Onslow Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 048600 | NC | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Onslow Memorial Hospital Inc | Current | Accepting new patients | |
| Onslow Memorial Hospital, Inc. | Current | Accepting new patients | |
| The Charlotte-Mecklenburg Hospital Authority | Past | Accepting new patients | |
| The Presbyterian Hospital | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
241 New River Dr
Jacksonville, NC 28540
Phone (910) 430-4152
317 Western Blvd
Jacksonville, NC 28546
Phone (910) 577-2240
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.
-
- General Acute Care Hospital
- Jacksonville, NC
- NPI 1679535496
-
- Home Health Agency
- Monroe, NC
- NPI 1508808882
-
- Certified Registered Nurse Anesthetist
- Charlotte, NC
- NPI 1487626933
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 1
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": "1161907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1730265372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 HOSPITAL DR",
"city": "MONROE",
"state": "NC",
"postal_code": "281126000",
"telephone_number": "704-283-3179",
"fax_number": "704-226-5800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 HOSPITAL DR",
"city": "MONROE",
"state": "NC",
"postal_code": "281126000",
"telephone_number": "704-283-3179",
"fax_number": "704-226-5800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIGGINS",
"first_name": "LISA",
"middle_name": "SPEAKS",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NC",
"license": "048600",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8050986",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NAN265",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Monroe, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.