Individual provider Active NPI

Kim Cheri Wiggins, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Twin Falls, ID
National Provider Identifier
1962419770
Registry record updated Jan 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
M9039 Issued in ID
Practice address
738 N College Rd
Suite C
Twin Falls, ID 83301-3385
Phone
(208) 814-7100
Fax
(208) 737-2731
NPI assigned
Aug 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X M9039 ID Primary

Addresses

Primary practice location

738 N College Rd
Suite C
Twin Falls, ID 83301-3385

Mailing address

PO Box 587
Twin Falls, ID 83303-0587
Phone (208) 814-7400

Other identifiers 2

IdentifierTypeStateIssuer
P00899548OtherIDMCRR
1962419770MedicaidID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID, AZ, MT3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20041029000177 ID Practitioner - Physical Medicine and Rehabilitation 8729040027 Reassigns benefits to 1 organization
I20190325002128 AZ Practitioner - Physical Medicine and Rehabilitation 8729040027
I20230228000661 MT Practitioner - Physical Medicine and Rehabilitation 8729040027 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
University of Alabama School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Joseph Hospital LLCGroup PAC ID 8325325806, 91 clinicians

Practice addresses (Care Compare)

415 6TH St
Lewiston, ID 83501-2431
Phone (208) 743-2511

Hospital & facility affiliations

  • Rogue Valley Medical Center Inpatient rehabilitation facility, Medford, OR, CCN 38T018

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M9039IDMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Joseph Hospital LLC CurrentSince Sep 14, 2025 Accepting new patients
RCHP Billings - Missoula LLC CurrentSince Nov 24, 2022 Accepting new patients
Vibra Physicians LLC CurrentSince May 1, 2020 Accepting new patients
RCHP Billings - Missoula LLC CurrentSince Nov 24, 2022 Accepting new patients
Neurology of Twin Falls, LLC Physical Medicine & Rehabilitation Past Accepting new patients
Spine Institute of Idaho P a PastSince Mar 18, 2002 Accepting new patients
St Luke'S Magic Valley Regional Medical Center LTD Past Accepting new patients
St. Joseph Hospital LLC Past Accepting new patients

Locations

1851 N Gemini Dr
Flagstaff, AZ 86001
Phone (928) 266-0118

3700 N Windsong Dr
Prescott Vly, AZ 86314
Phone (575) 640-3382

5 E River Park Pl E
Ste 460
Fresno, CA 93720

821 21st Ave
Lewiston, ID 83501
Phone (208) 799-3422

415 6th St
Lewiston, ID 83501
Phone (208) 750-7445

2831 Fort Missoula Rd
Ste 303
Missoula, MT 59804
Phone (406) 327-4412

2230 N Reserve St
Missoula, MT 59808
Phone (406) 721-0533

2827 Fort Missoula Rd
Missoula, MT 59804
Phone (406) 327-4202

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10048/brand/1/csg/1/fhir/r4

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.

Hospital & facility affiliations 2

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": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388707200000",
    "number": "1962419770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 587",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833030587",
            "telephone_number": "208-814-7400",
            "fax_number": "208-814-7491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "738 N COLLEGE RD",
            "address_2": "SUITE C",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013385",
            "telephone_number": "208-814-7100",
            "fax_number": "208-737-2731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIGGINS",
        "first_name": "KIM",
        "middle_name": "CHERI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-02",
        "last_updated": "2014-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "ID",
            "license": "M9039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCRR",
            "identifier": "P00899548",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1962419770",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Twin Falls, ID

Sources for this page

Verify at the official NPI Registry.