Active NPI
Gregory Shaun Wiggins, CRNA
- Certified Registered Nurse Anesthetist
- Fredericksburg, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- AP125240
- Practice address
- 1020 S State Highway 16
Fredericksburg, TX 78624-4471 - Phone
- (830) 997-4353
- NPI assigned
- Apr 3, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 | AP125240 | TX | Primary |
Addresses
Primary practice location
1020 S State Highway 16
Fredericksburg, TX 78624-4471
Mailing address
707 S Creek St
Apt. 215
Fredericksburg, TX 78624-5515
Phone (270) 226-9206
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, MI, OH
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2013
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
2001 Stults Rd
Huntington, IN 46750-1291
Phone (260) 355-3000
274 E Chicago St
Coldwater, MI 49036-2041
Phone (517) 279-5400
3663 N Country Dr
Alliance Surgery Ctr
Traverse City, MI 49684-4587
Phone (231) 252-1228
433 W High St
Bryan, OH 43506-1690
Phone (419) 636-1311
701 S Health Pkwy
Three Rivers Health Hospital
Three Rivers, MI 49093-8352
Phone (269) 278-1145
801 S Main St
Clinton, IN 47842-2261
Phone (765) 832-1234
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP125240 | TX | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Center of Branch County | Current | Accepting new patients | |
| Community Health Center of Branch County | Current | Accepting new patients | |
| Community Health Center of Branch County | Current | Accepting new patients | |
| Clinical Colleagues Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Regio T Penna MD, PC | Current | Accepting new patients | |
| Monaco Management, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Iceland Anesthesia Management, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Community Health Center of Branch County | Current | Accepting new patients |
Locations
801 S Main St
Clinton, IN 47842
Phone (765) 832-1212
1260 E State Road 205
Columbia City, IN 46725
Phone (260) 248-9000
1721 Magnavox Way
Fort Wayne, IN 46804
Phone (260) 250-0001
2001 Stults Rd
Huntington, IN 46750
Phone (219) 355-3000
207 N Townline Rd
Lagrange, IN 46761
Phone (260) 266-5300
441 N Wabash Ave
Marion, IN 46952
Phone (219) 482-4577
1421 N 7th St
Terre Haute, IN 47807
Phone (812) 231-4604
300 E Warwick Dr
Alma, MI 48801
Phone (989) 463-0104
274 E Chicago St
Coldwater, MI 49036
Phone (517) 279-5400
701 S Health Parkway
Three Rivers, MI 49093
Phone (269) 273-9691
3663 N Country Dr
Traverse City, MI 49684
Phone (231) 252-1228
9 Northeastern Blvd
Ste 400
Salem, NH 03079
121 Westfield Dr
Archbold, OH 43502
Phone (419) 445-2015
433 W High St
Bryan, OH 43506
Phone (419) 636-1131
1250 S Washington St
Van Wert, OH 45891
Phone (419) 232-2077
Organizations & group practices 8
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.
-
- Anesthesiology Physician
- Van Wert, OH
- NPI 1992725766
IN, MI, Nurse Anesthetist, Certified Registered
-
- General Practice Physician
- Coldwater, MI
- NPI 1124055009
-
- Anesthesiology Physician
- Terre Haute, IN
- NPI 1912578667
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Alma, MI
- NPI 1568125177
Nurse Anesthetist, Certified Registered
-
- Hematology & Oncology Physician
- Coldwater, MI
- NPI 1215964192
-
- Internal Medicine Physician
- Coldwater, MI
- NPI 1306873286
-
- Pediatric Adolescent Medicine Physician
- Coldwater, MI
- NPI 1619304458
-
- Specialist
- Coldwater, MI
- NPI 1245213537
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Coldwater, MI
- NPI 1063471639
-
- Critical Access Hospital
- Lagrange, IN
- NPI 1679674956
-
- General Acute Care Hospital
- Ann Arbor, MI
- NPI 1003878539
-
- General Acute Care Hospital
- Terre Haute, IN
- NPI 1619975331
-
- General Acute Care Hospital
- Terre Haute, IN
- NPI 1821859752
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396483200000",
"number": "1851719025",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "707 S CREEK ST",
"address_2": "APT. 215",
"city": "FREDERICKSBURG",
"state": "TX",
"postal_code": "786245515",
"telephone_number": "270-226-9206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1020 S STATE HIGHWAY 16",
"city": "FREDERICKSBURG",
"state": "TX",
"postal_code": "786244471",
"telephone_number": "830-997-4353"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIGGINS",
"first_name": "GREGORY",
"middle_name": "SHAUN",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-04-03",
"last_updated": "2014-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "AP125240",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fredericksburg, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2014; 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.