Active NPI
Kim Cheri Wiggins, M.D.
- Physical Medicine & Rehabilitation Physician
- Twin Falls, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- M9039
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00899548 | Other | ID | MCRR |
| 1962419770 | Medicaid | ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID, AZ, MT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
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
Practice addresses (Care Compare)
415 6TH St
Lewiston, ID 83501-2431
Phone (208) 743-2511
Hospital & facility affiliations
- Rogue Valley Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M9039 | ID | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Joseph Hospital LLC | Current | Accepting new patients | |
| RCHP Billings - Missoula LLC | Current | Accepting new patients | |
| Vibra Physicians LLC | Current | Accepting new patients | |
| RCHP Billings - Missoula LLC | Current | Accepting new patients | |
| Neurology of Twin Falls, LLC | Physical Medicine & Rehabilitation | Past | Accepting new patients |
| Spine Institute of Idaho P a | Past | 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
- 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.
-
- Internal Medicine Physician
- Lewiston, ID
- NPI 1205368404
-
- Specialist
- Missoula, MT
- NPI 1376946913
-
- Medical Oncology Physician
- Missoula, MT
- NPI 1891164125
-
- Hospitalist Physician
- Johnstown, CO
- NPI 1659705424
-
- Neurology Physician
- Twin Falls, ID
- NPI 1861547390
Physical Medicine & Rehabilitation
-
- Orthopaedic Surgery of the Spine Physician
- Meridian, ID
- NPI 1659380269
-
- Community/Retail Pharmacy
- Twin Falls, ID
- NPI 1760203921
-
- General Acute Care Hospital
- Lewiston, ID
- NPI 1225090954
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 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; Order and Referring.
- 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.