MARY LEANN WIGLEY NP
NPI 1538806591
Nurse Practitioner - Family in Memphis, TN

Active since May 19, 2022PECOS Enrolled
6005 PARK AVE STE 310, MEMPHIS, TN 38119(901) 763-0833(901) 763-3831 Get Directions Write a Review

NPPES record last updated: May 22, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 22, 2025, Apr 3, 2025, May 19, 2022 (3 updates tracked since 2022).

About Mary Leann Wigley Np NPPES

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

MARY LEANN WIGLEY NP (NPI 1538806591) is an individual family provider in Memphis, Tennessee, licensed in Tennessee (31599) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Olive Branch, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1538806591
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARY LEANN WIGLEYCredential: NP
Location Address6005 PARK AVE STE 310Memphis, TN 38119-5213
Mailing Address6005 Park Ave Ste 310Memphis, TN 38119-5213 · (901) 763-0833 · Fax (901) 763-3831
Fax(901) 763-3831
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMay 19, 2022
Last NPPES UpdateMay 22, 20253 updates tracked since enumeration
NPPES CertifiedMay 22, 2025
✔ NPI 1538806591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in TN · 31599✔ Licensed in MS · 905314
6005 PARK AVE STE 310, Memphis, TN 38119

Secondary Practice Location 1

Location 16952 Dogwood Mnr N Ste 102Olive Branch, MS 38654-2091 · Phone (662) 200-1949

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Leann Wigley Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4981086428
PECOS Enrollment IDI20220801001884
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 Reassignment

Medicare enrollment records show Mary Wigley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Medicine
6005 PARK AVE STE 310
Memphis, TN 38119
  • Reassigned Medicare billing, Tennessee enrollment

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

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
19 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38119 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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 2

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

Obstetrics & Gynecology (Obstetrics)
6005 PARK AVE STE 310
MEMPHIS, TN 38119
Family Medicine
6005 PARK AVE STE 310
MEMPHIS, TN 38119

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 Mary Wigley's NPI number?

The NPI number for Mary Wigley is 1538806591. It was assigned to this individual provider in the NPPES registry on May 19, 2022.

Where is Mary Wigley located?

Mary Wigley practices at 6005 Park Ave Ste 310, Memphis, TN 38119. The listed phone number is (901) 763-0833.

What is Mary Wigley's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Mary Wigley enrolled in Medicare?

Yes. Mary Wigley is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mary Wigley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Wigley reassigns Medicare benefits to Maternally Yours Family Care (Memphis, TN). The 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 Mary Wigley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mary Wigley accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 3 other insurers list Mary Wigley 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 Mary Wigley was last updated on May 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.