JACQUELINE BOUVIER WIGFALL FNP
NPI 1689128886
Nurse Practitioner - Family in Bronx, NY

Q: What is Jacqueline Wigfall's NPI number?

The NPI number for Jacqueline Wigfall is 1689128886. It was assigned to this individual provider in the NPPES registry on August 5, 2016.

Q: What is Jacqueline Wigfall's specialty?

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

Active since August 05, 2016PECOS Enrolled

2015 GRAND CONCOURSE, BRONX, NY 10453(718) 299-7295(718) 299-6797 Get Directions Write a Review

NPPES record last updated: June 26, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 26, 2020, Jun 8, 2020 (2 updates tracked since 2020).

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About Jacqueline Bouvier Wigfall Fnp NPPES

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

JACQUELINE BOUVIER WIGFALL FNP (NPI 1689128886) is an individual family provider in Bronx, New York, licensed in New York (F340916) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689128886

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJACQUELINE BOUVIER WIGFALLCredential: FNP

Location Address2015 GRAND CONCOURSEBronx, NY 10453-4303

Mailing Address1434 Williamsbridge Rd Fl 2Bronx, NY 10461-2507 · (718) 618-0401 · Fax (347) 479-1303

Phone(718) 299-7295

Fax(718) 299-6797

Sole ProprietorYes

Enumeration DateAugust 5, 2016

Last NPPES UpdateJune 26, 20202 updates tracked since enumeration

NPPES CertifiedJune 26, 2020

✔ NPI 1689128886 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 NY · F340916

2015 GRAND CONCOURSE, Bronx, NY 10453

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacqueline Bouvier Wigfall Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10453 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

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

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.

MANA RAO M.D.

Internal Medicine (Infectious Disease)