NPIMap

Individual provider Active NPI

Judy Ann Widger

  • Family Medicine Physician
  • Healdsburg, CA
National Provider Identifier
1821062027
Registry record updated Dec 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G80051 Issued in CA
Practice address
1381 University Ave
Healdsburg, CA 95448-3314
Phone
(707) 433-5494
Fax
(707) 431-1427
NPI assigned
Feb 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G80051 CA Primary

Addresses

Primary practice location

1381 University Ave
Healdsburg, CA 95448-3314

Mailing address

1381 University Ave
Healdsburg, CA 95448-3314
Phone (707) 431-8234

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040602001466 CA Practitioner - Family Practice 1759363831 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of California, San Francisco School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Norcal Healthconnect LLC 8 clinicians

Practice addresses (Care Compare)

1375 University St
Healdsburg, CA 95448-3382
Phone (707) 431-6500

Hospital & facility affiliations

  • BLC Homehealth Inc Home health agency, San Leandro, CA, CCN 053137
  • Sutter Care at Home Home health agency, Santa Rosa, CA, CCN 058189
  • Mary'S Help Home Health Services, Inc Home health agency, Vallejo, CA, CCN 059143
  • Gateway Home Health Corp. Home health agency, San Ramon, CA, CCN 053129
  • Healdsburg Hospital Hospital, Healdsburg, CA, CCN 051321
  • Healdsburg Hospital D/P SNF Nursing home, Healdsburg, CA, CCN 555590

Merit-based Incentive Payment System (MIPS)

Final score
91.9 of 100Reported as group
Quality
81.89
Promoting interoperability
99
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
80051CAMDMarriage & Family Therapist
G80051CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Norcal Healthconnect LLC Current Accepting new patients
Norcal Healthconnect LLC CurrentSince Jan 1, 2021 Accepting new patients
Norcal Healthconnect LLC CurrentSince Jan 1, 2021 Accepting new patients

Locations

1375 University St
Healdsburg, CA 95448
Phone (707) 385-2025

110 Lynch Creek Way
#B
Petaluma, CA 94954
Phone (707) 522-4348

Interoperability endpoints

  • Direct secure messaging: jwidger@yourcarecommunity.org

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Healdsburg HospitalHealdsburg, CA, CCN 555590 Skilled nursing facility Contracted Managing Employee Jan 1, 2021

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

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 7

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": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292803200000",
    "number": "1821062027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1381 UNIVERSITY AVE",
            "city": "HEALDSBURG",
            "state": "CA",
            "postal_code": "954483314",
            "telephone_number": "707-431-8234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1381 UNIVERSITY AVE",
            "city": "HEALDSBURG",
            "state": "CA",
            "postal_code": "954483314",
            "telephone_number": "707-433-5494",
            "fax_number": "707-431-1427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIDGER",
        "first_name": "JUDY",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-14",
        "last_updated": "2010-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G80051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Healdsburg, CA

Sources for this page

Verify at the official NPI Registry.