NPIMap

Individual provider Active NPI

Jeanne Wigant, MD

  • Family Medicine Physician
  • Monticello, UT
National Provider Identifier
1942736087
Registry record updated Oct 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
10901609-1205 Issued in UT
Practice address
380 W 100 N
Monticello, UT 84535-7879
Phone
(435) 587-1148
NPI assigned
May 11, 2017
Last updated
Oct 2, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD61052795 WA
Obstetrics & Gynecology Physician 207V00000X MD61052795 WA
Family Medicine Physician 207Q00000X 10901609-1205 UT Primary

Addresses

Primary practice location

380 W 100 N
Monticello, UT 84535-7879

Mailing address

PO Box 308
Monticello, UT 84535-0308
Phone (435) 487-5054

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190103000725 UT Practitioner - Family Practice 7517202096 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
San Juan County HospitalGroup PAC ID 4486541851, shared by 5 NPIs, 19 clinicians

Practice addresses (Care Compare)

380 W 100
Monticello, UT 84535-0308
Phone (435) 587-2116

380 W 100
Suite a
Monticello, UT 84535-7879
Phone (435) 587-5054

5555 Old Airport Rd
Spanish Valley, UT 84532-5105
Phone (435) 587-1234

PO Box
Suite 1054
Monticello, UT 84535

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
10901609-1205UTMDFamily Medicine Physician
MD61052795WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
San Juan County Hospital CurrentSince Aug 30, 2021 Accepting new patients
San Juan County Hospital Family Medicine CurrentSince Aug 30, 2021 Accepting new patients
San Juan County Hospital Family Medicine Current Accepting new patients
San Juan County Hospital CurrentSince Nov 24, 2025 Accepting new patients
San Juan County Hospital Family Medicine Past Accepting new patients

Locations

5555 Old Airport Rd
Moab, UT 84532
Phone (435) 419-9210

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/d2bc3d5a-3c39-4553-86b1-b3aa0a5429a7/

Organizations & group practices 5

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 6

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": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633132800000",
    "number": "1942736087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 308",
            "city": "MONTICELLO",
            "state": "UT",
            "postal_code": "845350308",
            "telephone_number": "435-487-5054",
            "fax_number": "435-587-3495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 W 100 N",
            "city": "MONTICELLO",
            "state": "UT",
            "postal_code": "845357879",
            "telephone_number": "435-587-1148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIGANT",
        "first_name": "JEANNE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-11",
        "last_updated": "2021-10-02",
        "certification_date": "2021-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD61052795",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WA",
            "license": "MD61052795",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "10901609-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monticello, UT

Sources for this page

Verify at the official NPI Registry.