SHELBY WIGGINTON – Family Medicine Physician, NPI 1083107452

SHELBY WIGGINTON is a healthcare provider. based in Chicago, Illinois. specializing in FAMILY PRACTICE. They hold a License No. 94-09485 (KS). The NPI Number for SHELBY WIGGINTON is 1083107452

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
SHELBY WIGGINTON
NPI
1083107452
Phone
(314) 543-6979
Address
PO BOX 776084
Enumeration Date
11 June 2018
Last Update Date
8 August 2023

Doctor Profile

Medical School Name
TEXAS A & M UNIVERSITY SYSTEM, HSC, COLLEGE OF MEDICINE
Secondary Phone
4793385555
Graduation Year
2018 (8 years ago)
PAC ID
4880942507
Group Practice PAC ID
0648177873
Professional Enrollment ID
I20230821003608
Address ID
AR727581455RO2708XLNXX501
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:7State licenses:2Digital endpointsOther names

1,499 FAMILY PRACTICE in AR

Provider Addresses for SHELBY WIGGINTON

  • PO BOX 776084

    CHICAGO, IL 606776084

    Phone: (314) 543-6979

    Fax: (314) 364-6321

    Type: Mailing

  • 2708 S RIFE MEDICAL LN STE 130

    ROGERS, AR 727581455

    Phone: (479) 338-5555

    Fax: (479) 338-5533

    Type: Location

  • 1010 N Kansas St

    Wichita, KS 672143124

    Phone: (316) 858-3460

    Type: Location

  • University of Kansas - School of Medicine Wichita Campus Kansas University Medical School, 1010, North Kansas Street, Wichita, Sedgwick County, Kansas, 66214, United States

    WICHITA, KS 672143124

    Phone: (316) 858-3460

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 55 Open Payments records for all available years, with a total value of $923.

Total Amount is formed as General ($923) + Research ($0) + Ownership ($0) = $923.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: ABBVIE INC. ($352).

Total Amount

$923

General + Research + Ownership

Payments

55

Total payment records

General Amount

$923

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-08-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220310001352IFamily PracticeIATBD
I20230821003608IFamily PracticeARTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes1511$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes1313$0
99239Hospital discharge day management, more than 30 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 60677)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0648177873View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YAR
Internal Medicine, Cardiovascular Disease (Cardiology)MO
Nurse PractitionerAR
Internal Medicine, General PracticeAR
-AR
R H E U M A T O L O G YAR
-AR
-AR
-AR
Nurse PractitionerAR

Reviews

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Frequently asked questions

What NPI should I save for SHELBY WIGGINTON?
Save NPI 1083107452 if you need a stable reference for SHELBY WIGGINTON.
Is SHELBY WIGGINTON's NPI currently valid?
The extract we use shows SHELBY WIGGINTON as active.
What kind of provider is SHELBY WIGGINTON?
The page reflects Family Medicine Physician for SHELBY WIGGINTON. Clinical services aligned with this taxonomy classification.
What location metadata exists for SHELBY WIGGINTON?
The page summarizes Chicago, Illinois for SHELBY WIGGINTON; expand the address list for detail.
How can I contact SHELBY WIGGINTON?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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