Individual provider Active NPI

Kimberly Widler, NP-C

  • Nurse Practitioner
  • Hutchinson, KS
National Provider Identifier
1306244611
Registry record updated Jun 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
53-76358-121 Issued in KS
Practice address
2101 N Waldron St
Hutchinson, KS 67502-1131
Phone
(620) 669-2500
NPI assigned
Dec 18, 2014
Last updated
Jun 24, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 53-76358-121 KS Primary
Paramedic 146L00000X 030263 KS

Addresses

Primary practice location

2101 N Waldron St
Hutchinson, KS 67502-1131

Mailing address

9222 W Ryan CT
Wichita, KS 67205-2164
Phone (316) 650-6945

Other identifiers 2

IdentifierTypeStateIssuer
PENDINGMedicaidKS
F0714783OtherKSAANP-AMERICAN ACADEMY OF NURSE PRACTITIONERS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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

Enrollment IDStateProvider typePAC IDDetails
I20150320001447 KS Practitioner - Nurse Practitioner 1951628437 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
87.31 of 100Reported as group
Quality
76.94
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
030263KSMDParamedic
53-76358-121KSMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ninnescah Valley Health Systems, Inc. CurrentSince Oct 1, 2018 Accepting new patients
Lincoln County Hospital Current Accepting new patients
Lincoln County Hospital CurrentSince Oct 10, 2016 Accepting new patients
Lincoln County Hospital Current Accepting new patients
Ninnescah Valley Health Systems, Inc. Past Accepting new patients
Ninnescah Valley Health Systems, Inc. Past Accepting new patients

Locations

750 W D Ave
Kingman, KS 67068
Phone (620) 532-0295

313 E Franklin St
Lincoln, KS 67455
Phone (785) 524-4474

624 N 2nd St
Lincoln, KS 67455
Phone (785) 524-4403

Interoperability endpoints

  • Direct secure messaging: kimberly.widler.p1@direct.schcmed.nextgenshare.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1418860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435104000000",
    "number": "1306244611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9222 W RYAN CT",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672052164",
            "telephone_number": "316-650-6945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 N WALDRON ST",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "675021131",
            "telephone_number": "620-669-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIDLER",
        "first_name": "KIMBERLY",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-18",
        "last_updated": "2015-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "53-76358-121",
            "primary": true
        },
        {
            "code": "146L00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Paramedic",
            "state": "KS",
            "license": "030263",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AANP-AMERICAN ACADEMY OF NURSE PRACTITIONERS",
            "identifier": "F0714783",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hutchinson, KS

Sources for this page

Verify at the official NPI Registry.