Kelly Rachel Stanek Wigglesworth, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

DR.0075367 Issued in CO

Practice address

15464 E Orchard Rd
Centennial, CO 80016-3005

Phone

(303) 680-5437

Fax

(303) 680-5439

NPI assigned

Mar 22, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Kelly Rachel Stanek Former name

Medicare fee-for-service enrollment

Enrolled in CO

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: kwigglesworth54863@direct.childrenscolorado.org

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.

• Children'S Hospital Colorado

  • Clinical Social Worker
  • Aurora, CO
  • NPI 1174282776
  NPD
• Centennial Pediatrics, PC

  • Pediatrics Physician
  • Centennial, CO
  • NPI 1972773612
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1647907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752796800000",
    "number": "1831848134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15464 E ORCHARD RD",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "800163005",
            "telephone_number": "303-680-5437",
            "fax_number": "303-680-5439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15464 E ORCHARD RD",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "800163005",
            "telephone_number": "303-680-5437",
            "fax_number": "303-680-5439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIGGLESWORTH",
        "first_name": "KELLY",
        "middle_name": "RACHEL STANEK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-22",
        "last_updated": "2025-07-18",
        "certification_date": "2025-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CO",
            "license": "DR.0075367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "STANEK",
            "middle_name": "RACHEL",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dawn Linnaya Widhalm, LPC
• Kathleen Widlund, LPCC, MA
• Megan Rosmarie Wieck
• David L Wiersma, OD
• Leah Maria Antoinette Wiggins-Marshall
• Jessica Wijaya
• Constance S Wilcox
• Heather Wilen
• Sharon Denise Wiley, MA
• Keyana Wilkins

• Pediatrics Physician in Centennial, CO
• Providers in Centennial, CO by specialty
• Pediatrics Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.