Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Jordan David Wiggins

Individual provider Family Nurse Practitioner · NPI 1811616659

Mr. Jordan David Wiggins is a Nurse Practitioner in Albuquerque, New Mexico. Qualified in 2022, 4 years ago. Practices with Optumcare New Mexico LLC, a 72-clinician group and accepts Medicare assignment. Licensed in New Mexico.

Years since qualifying
4
Licensed in
NM
In the registry since
2022
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Practice location Address checks out

5150 Journal Center Blvd NE
Albuquerque, NM 87109-5900
Phone: (505) 262-3384
Fax: (505) 262-1500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 69539 (NM)

Record details

NPI number1811616659
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 24, 2022
Last updated in NPPESApril 10, 2024
Certification dateApril 10, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Optumcare New Mexico Llc — 72 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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