Marika Patrycja Widmann, DNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5021847 Issued in NC

Practice address

620 Veterans Parkway
Clayton, NC 27520

Phone

(757) 630-1456

NPI assigned

Mar 24, 2025

Last updated

Mar 24, 2025By 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 NC

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

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Amae Health Medical Associates North Carolina, P.C.

  • Psychiatry Physician
  • Raleigh, NC
  • NPI 1336920644
  Medicare reassignment
• Post Acute Clinical Services PLLC

  • Family Medicine Physician
  • Charlotte, NC
  • NPI 1548061104
  Medicare reassignment

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

{
    "created_epoch": "1742774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742774400000",
    "number": "1255132148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 VETERANS PKWY",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275205803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 VETERANS PARKWAY",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "27520",
            "telephone_number": "757-630-1456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIDMANN",
        "first_name": "MARIKA",
        "middle_name": "PATRYCJA",
        "name_prefix": "Dr.",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-24",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5021847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Whitney Norton White
• Rene Whitehead, MS, LCAS-A
• Stacey Whitehead
• Wendy Whitfield
• Carolyn Barnnette Whitley
• Ashante Wiggins
• Vincent Kyle Wiggins, AGACNP
• Wigglestone Enterprises LLC Dba Keltic Belle
• Jeffrey Scott Wilkins, OD
• William S Harvey III DDS 13 PLLC

• Family Nurse Practitioner in Clayton, NC
• Providers in Clayton, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.