KATELYN BLISS WIGDERSON PA-C
NPI 1477374627
Physician Assistant - Medical in Atlantis, FL

Active since October 21, 2024PECOS EnrolledAccepts Medicare Assignment
5507 S CONGRESS AVE STE 140, ATLANTIS, FL 33462(561) 965-6685 Get Directions Write a Review

NPPES record last updated: October 21, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Katelyn Bliss Wigderson Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATELYN BLISS WIGDERSON PA-C (NPI 1477374627) is an individual medical provider in Atlantis, Florida, licensed in Florida (9119424) and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1477374627
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameKATELYN BLISS WIGDERSONCredential: PA-C
Location Address5507 S CONGRESS AVE STE 140Atlantis, FL 33462-1139
Mailing Address5507 S Congress Ave Ste 140Atlantis, FL 33462-1139
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateOctober 21, 2024
NPPES CertifiedOctober 17, 2024
NPI 1477374627 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in FL · 9119424
5507 S CONGRESS AVE STE 140, Atlantis, FL 33462

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Katelyn Bliss Wigderson Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2860927381
PECOS Enrollment IDI20241121000124
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
5507 S CONGRESS AVE STE 140
ATLANTIS, FL 33462

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Katelyn Wigderson's NPI number?

The NPI number for Katelyn Wigderson is 1477374627. It was assigned to this individual provider in the NPPES registry on October 21, 2024.

Where is Katelyn Wigderson located?

Katelyn Wigderson practices at 5507 S Congress Ave Ste 140, Atlantis, FL 33462. The listed phone number is (561) 965-6685.

What is Katelyn Wigderson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Katelyn Wigderson enrolled in Medicare?

Yes. Katelyn Wigderson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Katelyn Wigderson was last updated on October 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.