Individual provider Active NPI

Benjamin Brownell Widener, M.D.

  • Rheumatology Physician
  • Sheridan, WY
National Provider Identifier
1487944484
Registry record updated Jan 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
10081A Issued in WY
Practice address
1333 W 5TH St Ste 203
Sheridan, WY 82801-2752
Phone
(307) 675-4474
Fax
(307) 675-4475
NPI assigned
Apr 11, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 10081A WY
Rheumatology Physician 207RR0500X 10081A WY Primary

Addresses

Primary practice location

1333 W 5TH St Ste 203
Sheridan, WY 82801-2752

Mailing address

1333 W 5TH St Ste 110
Sheridan, WY 82801-2752
Phone (307) 675-4474

Other practice location 1

1333 W 5th St Ste 112
Sheridan, WY 82801-2752
Phone (307) 675-4474

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bwidener@sheridan.cernerdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GU, WY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20141119001772 GU Practitioner - Internal Medicine 1052539111 Reassigns benefits to 1 organization
I20150626000493 WY Practitioner - RheumatologyPractitioner - Internal Medicine 1052539111 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Internal Medicine
Education
University of Washington School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Big Horn Health NetworkGroup PAC ID 1254476484, 84 clinicians
Memorial Hospital of Sheridan CountyGroup PAC ID 2163405440, 90 clinicians

Practice addresses (Care Compare)

1333 W 5TH St
Sheridan, WY 82801-2752
Phone (307) 675-2650

1401 W 5TH St
Sheridan, WY 82801-2705
Phone (307) 672-1000

Hospital & facility affiliations

  • Sheridan Memorial Hospital Hospital, Sheridan, WY, CCN 530006
  • Campbell County Health Hospital, Gillette, WY, CCN 530002
  • Johnson County Healthcare Center Hospital, Buffalo, WY, CCN 531308
  • Memorial Hospital of Converse County Hospital, Douglas, WY, CCN 531302
  • Banner Wyoming Medical Center Hospital, Casper, WY, CCN 530012

Merit-based Incentive Payment System (MIPS)

Final score
86.66 of 100Reported as group
Quality
82.09
Promoting interoperability
98
Improvement activities
40
Cost
75.1

Merit-based Incentive Payment System (MIPS)

Final score
83.21 of 100Reported as group
Quality
80.49
Promoting interoperability
94
Improvement activities
40
Cost
68.55

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hospital of Sheridan County CurrentSince Oct 20, 2016 Accepting new patients
Guam Memorial Hospital CurrentSince Sep 8, 2014 Accepting new patients
Memorial Hospital of Sheridan County CurrentSince Oct 20, 2016 Accepting new patients
Big Horn Health Network Internal Medicine CurrentSince Jun 1, 2015 Accepting new patients
Guam Memorial Hospital CurrentSince Sep 8, 2014 Accepting new patients
Gastroenterology Associates, LLC PastSince Jun 1, 2015 Accepting new patients

Locations

850 Gov Carlos G Camacho Rd
Tamuning, GU 96913
Phone (671) 647-2555

850 Gov Carlos G Camacho Rd
#R
Tamuning, GU 96913
Phone (671) 647-2552

1333 W 5th St
Ste 203
Sheridan, WY 82801
Phone (307) 672-2522

1435 Burton St
Sheridan, WY 82801
Phone (307) 672-0763

1401 W 5th St
Sheridan, WY 82801
Phone (307) 672-1000

1333 W 5th St
Ste 110
Sheridan, WY 82801
Phone (307) 675-4610

1333 W 5th St
Sheridan, WY 82801
Phone (307) 672-1000

1333 W 5th St
Ste 112
Sheridan, WY 82801
Phone (307) 675-2650

Interoperability endpoints

  • Direct secure messaging: bwidener@sheridan.cernerdirect.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 and National Provider Directory roles.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1302480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674086400000",
    "number": "1487944484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1333 W 5TH ST STE 110",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828012752",
            "telephone_number": "307-675-4474",
            "fax_number": "307-675-4475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1333 W 5TH ST STE 203",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828012752",
            "telephone_number": "307-675-4474",
            "fax_number": "307-675-4475"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1333 W 5th St Ste 112",
            "address_purpose": "LOCATION",
            "city": "Sheridan",
            "state": "WY",
            "postal_code": "828012752",
            "country_code": "US",
            "telephone_number": "307-675-4474",
            "fax_number": "307-675-4475",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIDENER",
        "first_name": "BENJAMIN",
        "middle_name": "BROWNELL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-11",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WY",
            "license": "10081A",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "WY",
            "license": "10081A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bwidener@sheridan.cernerdirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "1333 W 5th St Ste 203",
            "city": "Sheridan",
            "state": "WY",
            "country_code": "US",
            "postal_code": "828012752",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sheridan, WY

Sources for this page

Verify at the official NPI Registry.