HALEY JO WIGELSWORTH (APRN) – Family Nurse Practitioner, NPI 1710682935

HALEY JO WIGELSWORTH (APRN) is a healthcare provider. based in Vinita, Oklahoma. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 212452 (OK). The NPI Number for HALEY JO WIGELSWORTH (APRN) is 1710682935

Main info

Female
Sole Proprietor
3 Years Of Experience
Accepts Medicare Assignment
Name
HALEY JO WIGELSWORTH (APRN)
NPI
1710682935
Phone
(918) 605-2337
Address
35650 CIRCLE DR
Enumeration Date
5 April 2023
Last Update Date
20 June 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9182561500
Graduation Year
2023 (3 years ago)
PAC ID
9234595810
Group Practice PAC ID
0042105835
Professional Enrollment ID
I20230524001895
Address ID
OK743013720VI216XXSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

3,299 NURSE PRACTITIONER in OK

Provider Addresses for HALEY JO WIGELSWORTH (APRN)

  • 35650 CIRCLE DR

    VINITA, OK 743017056

    Phone: (918) 605-2337

    Type: Mailing

  • 601 E 13TH ST STE A

    GROVE, OK 743442962

    Phone: (918) 786-9900

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $67.

Total Amount is formed as General ($67) + Research ($0) + Ownership ($0) = $67.

Last reported payment date: 2024-07-18 • Largest payer in this snapshot: Corium, LLC ($40).

Total Amount

$67

General + Research + Ownership

Payments

4

Total payment records

General Amount

$67

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-18

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: 2023-05-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20230524001895INurse PractitionerOKTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 74301)

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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: 0042105835View full group profile
NameSpecialtyState
Family Practice, Emergency MedicineOK
Nurse PractitionerOK
Family PracticeOK
Internal MedicineOK
Nurse PractitionerMO
Nurse PractitionerOK
Nurse PractitionerKS
Nurse PractitionerOK
Nurse PractitionerOK

Reviews

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Frequently asked questions

Is HALEY JO WIGELSWORTH (APRN) listed with a National Provider Identifier?
Yes — HALEY JO WIGELSWORTH (APRN) has NPI 1710682935 on file in the registry.
Active or inactive — what applies to HALEY JO WIGELSWORTH (APRN)?
You should see HALEY JO WIGELSWORTH (APRN) as active in CMS-hosted NPPES data.
What area of care is associated with HALEY JO WIGELSWORTH (APRN)?
HALEY JO WIGELSWORTH (APRN)'s record emphasizes Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What locale is associated with HALEY JO WIGELSWORTH (APRN)?
Directory geography for HALEY JO WIGELSWORTH (APRN) centers on Vinita, Oklahoma.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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