MELANIE WIGGINS APRN
NPI 1487336459
Nurse Practitioner - Gerontology in Pensacola, FL

Active since August 01, 2023PECOS EnrolledAccepts Medicare Assignment
5151 N 9TH AVE, PENSACOLA, FL 32504(850) 416-7000 Get Directions Write a Review

NPPES record last updated: July 15, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 5, 2025, Aug 22, 2023 (2 updates tracked since 2023).

About Melanie Wiggins Aprn NPPES

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

MELANIE WIGGINS APRN (NPI 1487336459) is an individual gerontology provider in Pensacola, Florida, licensed in Florida (APRN11027650) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1487336459
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameMELANIE WIGGINSCredential: APRN
Location Address5151 N 9TH AVEPensacola, FL 32504-8721
Mailing Address4205 Belfort Rd Ste 4015Jacksonville, FL 32216-3623 · (904) 450-6063 · Fax (904) 539-4091
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateAugust 1, 2023
Last NPPES UpdateJuly 15, 20252 updates tracked since enumeration
NPPES CertifiedJuly 15, 2025
✔ NPI 1487336459 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in FL · APRN11027650
5151 N 9TH AVE, Pensacola, FL 32504

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Melanie Wiggins Aprn 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 ID5294189478
PECOS Enrollment IDI20230921001372
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Melanie Wiggins reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hospitalist
5151 N 9TH AVE
Pensacola, FL 32504
  • Reassigned Medicare billing, Florida enrollment
  • 199 clinicians in this Medicare group
Primary Care
5225 CARMEL HEIGHTS DR
Pensacola, FL 32504
  • Reassigned Medicare billing, Florida enrollment
  • 446 clinicians in this Medicare group
Hospitalist
123 BAPTIST WAY
Pensacola, FL 32503
  • Reassigned Medicare billing, Florida enrollment
  • 150 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
172 services127 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
58 services44 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
49 services48 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
23 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32504 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

Nurse Practitioner (Family)
5151 N 9TH AVE, STE 200
PENSACOLA, FL 32504
Nurse Practitioner (Neonatal)
5151 N 9TH AVE
PENSACOLA, FL 32504
Pediatrics (Pediatric Critical Care Medicine)
5151 N 9TH AVE
PENSACOLA, FL 32504
Emergency Medicine
5151 N 9TH AVE, ER
PENSACOLA, FL 32504
Clinical Pharmacology
5151 N 9TH AVE
PENSACOLA, FL 32504
Student in an Organized Health Care Education/Training Program
5151 N 9TH AVE
PENSACOLA, FL 32504
Emergency Medicine
5151 N 9TH AVE
PENSACOLA, FL 32504
Physician Assistant
5151 N 9TH AVE
PENSACOLA, FL 32504

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 Melanie Wiggins's NPI number?

The NPI number for Melanie Wiggins is 1487336459. It was assigned to this individual provider in the NPPES registry on August 1, 2023.

Where is Melanie Wiggins located?

Melanie Wiggins practices at 5151 N 9th Ave, Pensacola, FL 32504. The listed phone number is (850) 416-7000.

What is Melanie Wiggins's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Melanie Wiggins enrolled in Medicare?

Yes. Melanie Wiggins 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.

Which organizations bill Medicare for Melanie Wiggins's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Melanie Wiggins reassigns Medicare benefits to 3 organizations: Galen Inpatient Physicians PC (Pensacola, FL), Sacred Heart Health System, Inc. (Pensacola, FL) and Pensacola Hospitalist Physicians, LLC (Pensacola, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Melanie Wiggins's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Melanie Wiggins accept?

Health plans from Ambetter Health, Ambetter of Alabama and Oscar Health Maintenance Organization of Florida list Melanie Wiggins as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Melanie Wiggins was last updated on July 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.