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DR. MICHELLE WIDENER M.D.
NPI 1033217716
Psychiatry & Neurology - Child & Adolescent Psychiatry in Columbia, SC

Active since September 20, 2006PECOS EnrolledAccepts Medicare Assignment
99.32/100
CMS Quality Rating
11 RICHLAND MEDICAL PARK DR, COLUMBIA, SC 29203(803) 434-4506(803) 434-4852 Get Directions Write a Review

NPPES record last updated: November 21, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 21, 2022, Apr 19, 2018 (2 updates tracked since 2018).

About Dr. Michelle Widener M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MICHELLE WIDENER M.D. (NPI 1033217716) is an individual child & adolescent psychiatry provider in Columbia, South Carolina, licensed in South Carolina (247986) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS and is a graduate of East Tennessee State University Quillen College Of Medicine (2003).

NPPES Registry Identity

NPI1033217716
Entity TypeIndividualFemale
Primary Taxonomy2084P0804X
Provider Legal NameDR. MICHELLE WIDENERCredential: M.D.
Location Address11 RICHLAND MEDICAL PARK DRColumbia, SC 29203-6863
Mailing Address300 E Mcbee Ave Fl 4Greenville, SC 29601-2842 · (864) 522-8603
Phone(803) 434-4506
Fax(803) 434-4852
Sole ProprietorNo
Medical School CMSEast Tennessee State University Quillen College Of MedicineGraduated 2003
Enumeration DateSeptember 20, 2006
Last NPPES UpdateNovember 21, 20222 updates tracked since enumeration
NPPES CertifiedNovember 21, 2022
✔ NPI 1033217716 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in SC · 247986
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
11 RICHLAND MEDICAL PARK DR, Columbia, SC 29203
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Other Identifiers 1

Medicaid247986SC

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Michelle Widener M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6305163387
PECOS Enrollment IDI20150401000774
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Michelle Widener reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Prisma Health Medical Group-Midlands
Same address
Oral and Maxillofacial Surgery
10 RICHLAND MEDICAL PARK DR STE A
Columbia, SC 29203
  • Reassigned Medicare billing, South Carolina enrollment
  • 1,466 clinicians in this Medicare group
NPI 1417442864 (803) 434-6565
The Regional Medical Center Of Orangeburg And Calhoun Counties
35 mi
Hospitalist
3000 ST. MATTHEWS ROAD
Orangeburg, SC 29118
  • Reassigned Medicare billing, South Carolina enrollment
  • 94 clinicians in this Medicare group
NPI 1003889676 (803) 395-2200

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

99.32/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality90.59
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JOHN MICHALE TAYLOR PH.D.
Clinical Neuropsychologist
11 RICHLAND MEDICAL PARK DR
COLUMBIA, SC 29203
Richland County (803) 434-4807
PALMETTO HEALTH
Psychiatry & Neurology (Psychiatry)
11 RICHLAND MEDICAL PARK DR
COLUMBIA, SC 29203
Richland County (803) 434-4506
CLARE T LEE APRN-BC
Nurse Practitioner (Psychiatric/Mental Health)
11 RICHLAND MEDICAL PARK DR
COLUMBIA, SC 29203
Richland County (803) 434-4506
JADE SHEREE MILLER COHEN MD
Psychiatry & Neurology (Psychiatry)
11 RICHLAND MEDICAL PARK DR
COLUMBIA, SC 29203
Richland County (803) 434-4300
MR. DAVIS RHETT ROWELL LISW-CP
Social Worker (Clinical)
11 RICHLAND MEDICAL PARK DR, RICHLAND SPRINGS CSP-1
COLUMBIA, SC 29203
Richland County (803) 434-4800
MRS. SHANA MONIQUE DAVIS PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
11 RICHLAND MEDICAL PARK DR
COLUMBIA, SC 29203
Richland County (803) 434-4300
NEUROBEHAVIORAL DIAGNOSTICS LLC
Psychologist (Clinical)
11 RICHLAND MEDICAL PARK DR
COLUMBIA, SC 29203
Richland County (803) 434-4838
DR. MARI ELLEN BLOING PH.D., LMSW
Social Worker
11 RICHLAND MEDICAL PARK DR
COLUMBIA, SC 29203
Richland County (803) 434-1254

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michelle Widener's NPI number?

The NPI number for Michelle Widener is 1033217716. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is Michelle Widener located?

Michelle Widener practices at 11 Richland Medical Park Dr, Columbia, SC 29203. The listed phone number is (803) 434-4506.

What is Michelle Widener's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Michelle Widener enrolled in Medicare?

Yes. Michelle Widener is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Michelle Widener's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michelle Widener reassigns Medicare benefits to 2 organizations: Prisma Health Medical Group-Midlands (Columbia, SC) and The Regional Medical Center Of Orangeburg And Calhoun Counties (Orangeburg, SC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michelle Widener's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Michelle Widener was last updated on November 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.