Kelsey Jean Widgeon

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

144542 Issued in IA

Practice address

1825 Logan Ave
Waterloo, IA 50703-1916

Phone

(319) 235-3607

Fax

(319) 235-3958

NPI assigned

Sep 10, 2021

Last updated

Sep 10, 2021By 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 IA

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, 2021

Medicare assignment

May accept Medicare assignment

Group practices

Allen Memorial Hospital CorporationGroup PAC ID 4284546045, 149 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Allen Hospital Hospital, Waterloo, IA, CCN 160110

Merit-based Incentive Payment System (MIPS)

Final score

81.6 of 100Reported as group

Quality

83.66

Promoting interoperability

83

Improvement activities

40

Cost

69.17

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: krindels416221@direct.unitypoint.org

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.

• Allen Memorial Hospital Corporation

  dba Allen Hospital

  • Women's Health Nurse Practitioner
  • Waterloo, IA
  • NPI 1891772927
  Medicare reassignment Care Compare group NPD
• Allen Memorial Hospital Corporation

  dba Allen Hospital

  • Emergency Medicine Physician
  • Waterloo, IA
  • NPI 1346292521
  NPD
• St Luke's Methodist Hospital

  • General Acute Care Hospital
  • Cedar Rapids, IA
  • NPI 1083708226
  NPD
• Allen Memorial Hospital Corporation

  dba Allen Hospital

  • General Acute Care Hospital
  • Waterloo, IA
  • NPI 1336231091
  NPD (past)
• Cedar Valley Medical Specialists PC

  • Durable Medical Equipment & Medical Supplies
  • Vinton, IA
  • NPI 1659934180
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Allen Memorial Hospital Corporation

  dba Allen Hospital

  • General Acute Care Hospital
  • Waterloo, IA
  • NPI 1336231091
  Care Compare affiliation

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

{
    "created_epoch": "1631232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631232000000",
    "number": "1356010425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 LOGAN AVE",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507031916",
            "telephone_number": "319-235-3607",
            "fax_number": "319-235-3958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 LOGAN AVE",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507031916",
            "telephone_number": "319-235-3607",
            "fax_number": "319-235-3958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIDGEON",
        "first_name": "KELSEY",
        "middle_name": "JEAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-10",
        "last_updated": "2021-09-10",
        "certification_date": "2021-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IA",
            "license": "144542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Whitt, DPM
• Kathie J Whitt, DPM
• David Keith Whittemore, D.D.S.
• Dylan James Whittemore, DMD
• Keith J Whittemore, D.D.S.
• Heather Lynne Wiedman, PT
• Deziree Wiegmann, MS, NCC, TLMHC
• Logan Scott Wierschke, T-LMHC
• Hallee Wiersma
• Wild Rose Counseling LLC

• Registered Nurse in Waterloo, IA
• Providers in Waterloo, IA by specialty
• Registered Nurse in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2021; 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.