Merry D Widmeyer, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA10978 Issued in CA

Practice address

1001 Professional Dr
Napa, CA 94558-6413

Phone

(707) 252-0494

Fax

(707) 252-7586

NPI assigned

Feb 25, 2011

Last updated

Feb 25, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.72471

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Napa Valley Family Medical Group, Inc

  • Family Medicine Physician
  • Napa, CA
  • NPI 1598892622
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1298592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298592000000",
    "number": "1053618173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1561 3RD ST STE G",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945592861",
            "telephone_number": "707-259-2000",
            "fax_number": "707-259-0181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 PROFESSIONAL DR",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945586413",
            "telephone_number": "707-252-0494",
            "fax_number": "707-252-7586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIDMEYER",
        "first_name": "MERRY",
        "middle_name": "D",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-25",
        "last_updated": "2011-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA10978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trejohn White
• Danielle Whiteside
• Cameron Whitfield
• Tammy Lynn Whitt, CATC
• Whole Health Weight Loss Institute
• Laura Davidoff Wiedeman, PSY.D.
• Stephen J. Wieder, MD
• Mary Wiggs
• Beatrice Wigington, REGISTERED NURSE
• Rhonda Wikstrom, LVN

• Medical Physician Assistant in Napa, CA
• Providers in Napa, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.