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MRS. GLORIA D DIGGS FNP
NPI 1689113052
Nurse Practitioner - Family in Kenosha, WI

Active since February 18, 2017Opted out of Medicare · through Jun 1, 2027
3710 57TH AVE, KENOSHA, WI 53144(414) 376-6053(262) 652-1474 Get Directions Write a Review

NPPES record last updated: December 18, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 18, 2018, Dec 12, 2018, Feb 18, 2017 (3 updates tracked since 2017).

About Mrs. Gloria D Diggs Fnp NPPES

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

MRS. GLORIA D DIGGS FNP (NPI 1689113052) is an individual family provider in Kenosha, Wisconsin, licensed in Wisconsin (7538-33) and active in the NPI registry since February 2017. She has opted out of Medicare through June 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1689113052
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. GLORIA D DIGGSCredential: FNP
Location Address3710 57TH AVEKenosha, WI 53144-4820
Mailing Address3710 57th AveKenosha, WI 53144-4820 · (262) 652-1474
Phone(414) 376-6053
Fax(262) 652-1474
Sole ProprietorYes
Enumeration DateFebruary 18, 2017
Last NPPES UpdateDecember 18, 20183 updates tracked since enumeration
✔ NPI 1689113052 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
License✔ Licensed in WI · 7538-33
3710 57TH AVE, Kenosha, WI 53144
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare).Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mrs. Gloria D Diggs Fnp has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 1, 2021 through June 1, 2027.

Opt-Out Effective DateJune 1, 2021
Opt-Out In Effect ThroughJune 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53144 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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 11

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

AARON BURESH PHARMD
Pharmacist
3710 57TH AVE
KENOSHA, WI 53144
Kenosha County (262) 652-1474
MRS. ALISON AMALIA SHELTON FNP-BC
Nurse Practitioner (Family)
3710 57TH AVE
KENOSHA, WI 53144
Kenosha County (866) 389-2727
SHANISE WALLACE
Pharmacist
3710 57TH AVE
KENOSHA, WI 53144
Kenosha County (262) 652-1474
WISCONSIN CVS PHARMACY LLC
Pharmacy
3710 57TH AVE
KENOSHA, WI 53144
Kenosha County (262) 652-1474
KAREN D SMITH APNP-BC
Nurse Practitioner (Family)
3710 57TH AVE, 3710 57TH AVE
KENOSHA, WI 53144
Kenosha County (262) 652-1474
JENNIFER AMBLE APNP
Nurse Practitioner (Family)
3710 57TH AVE
KENOSHA, WI 53144
Kenosha County (847) 644-5951
RHONDA S NIEMI JUDGE NPC
Nurse Practitioner (Family)
3710 57TH AVE
KENOSHA, WI 53144
Kenosha County (262) 652-1474
STEPHEN TANGULIE TONSONG PHARMACIST
Pharmacy (Community/Retail Pharmacy)
3710 57TH AVE
KENOSHA, WI 53144
Kenosha County (262) 652-1474

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 Gloria Diggs's NPI number?

The NPI number for Gloria Diggs is 1689113052. It was assigned to this individual provider in the NPPES registry on February 18, 2017.

Where is Gloria Diggs located?

Gloria Diggs practices at 3710 57th Ave, Kenosha, WI 53144. The listed phone number is (414) 376-6053.

What is Gloria Diggs's specialty?

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

Is Gloria Diggs enrolled in Medicare?

No. Gloria Diggs has opted out of Medicare through June 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Gloria Diggs accept?

Health plans from CareSource (Common Ground Healthcare) list Gloria Diggs 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 Gloria Diggs was last updated on December 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.