Active NPI
Lena Widman, DO
- Family Medicine Physician
- Mount Pleasant, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 5101021632
- Practice address
- 4851 E Pickard St
Mount Pleasant, MI 48858 - Phone
- (989) 775-1610
- Fax
- (989) 775-1640
- NPI assigned
- Jun 13, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 5101021632 | MI | Primary |
Addresses
Primary practice location
4851 E Pickard St
Mount Pleasant, MI 48858
Mailing address
4851 E Pickard St
Mount Pleasant, MI 48858-2029
Phone (989) 775-1610
Other practice location 1
550 Munson Ave
Traverse City, MI 49686
Phone (231) 935-8686
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Michigan State University College of Osteopathic Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4851 E Pickard St
Mt Pleasant, MI 48858-2029
Phone (989) 775-1610
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mymichigan Medical Center Alma | Family Medicine | Current | Accepting new patients |
| Mymichigan Medical Center Alma | Current | Accepting new patients | |
| Mymichigan Medical Center Alma | Past | Accepting new patients |
Locations
300 E Warwick Dr
Alma, MI 48801
Phone (989) 463-0104
321 E Warwick Dr
Alma, MI 48801
Phone (989) 463-0957
602 Beech St
Ste 1100
Clare, MI 48617
Phone (989) 386-9911
121 N Pine River St
Ithaca, MI 48847
Phone (989) 875-0662
4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956
4851 E Pickard St
Mt Pleasant, MI 48858
Phone (989) 772-3009
4851 E Pickard St
Ste 1760
Mt Pleasant, MI 48858
Phone (989) 775-1610
Interoperability endpoints
- lwidman77769@mymichiganhealth.midirect.net
Organizations & group practices 3
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.
-
- Emergency Medicine Physician
- Alma, MI
- NPI 1568914422
-
- Family Medicine Physician
- Alma, MI
- NPI 1265596126
-
- Psychiatric Hospital Unit
- Alma, MI
- NPI 1255305843
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Alma, MI
- NPI 1023097771
-
- General Acute Care Hospital
- Clare, MI
- NPI 1568414589
-
- General Acute Care Hospital
- Midland, MI
- NPI 1376973149
-
- General Acute Care Hospital
- Midland, MI
- NPI 1902841414
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547078400000",
"number": "1730560970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4851 E PICKARD ST",
"city": "MOUNT PLEASANT",
"state": "MI",
"postal_code": "488582029",
"telephone_number": "989-775-1610",
"fax_number": "989-775-1640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4851 E PICKARD ST",
"city": "MOUNT PLEASANT",
"state": "MI",
"postal_code": "48858",
"telephone_number": "989-775-1610",
"fax_number": "989-775-1640"
}
],
"practiceLocations": [
{
"address_1": "550 Munson Ave",
"address_purpose": "LOCATION",
"city": "Traverse City",
"state": "MI",
"postal_code": "49686",
"country_code": "US",
"telephone_number": "231-935-8686",
"fax_number": "231-935-8708",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WIDMAN",
"first_name": "LENA",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-06-13",
"last_updated": "2019-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "5101021632",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mount Pleasant, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2019; 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.