LYNNESSA ROBYN WIDELO NP
NPI 1225704711
Nurse Practitioner - Psychiatric/Mental Health in Mount Airy, NC

Active since August 17, 2021PECOS EnrolledAccepts Medicare Assignment
280 N POINTE BLVD STE 3, MOUNT AIRY, NC 27030(336) 948-9333 Get Directions Write a Review

NPPES record last updated: November 18, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 18, 2024, Apr 21, 2024, Aug 17, 2021 (3 updates tracked since 2021).

About Lynnessa Robyn Widelo Np NPPES

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

LYNNESSA ROBYN WIDELO NP (NPI 1225704711) is an individual psychiatric/mental health provider in Mount Airy, North Carolina, licensed in North Carolina (5017817) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1225704711
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameLYNNESSA ROBYN WIDELOCredential: NP
Location Address280 N POINTE BLVD STE 3Mount Airy, NC 27030-2267
Mailing Address2282 Reed Creek DrDraper, VA 24324-2858
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateAugust 17, 2021
Last NPPES UpdateNovember 18, 20243 updates tracked since enumeration
NPPES CertifiedNovember 18, 2024
NPI 1225704711 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses Licensed in NC · 5017817 Licensed in VA · 0024182343
280 N POINTE BLVD STE 3, Mount Airy, NC 27030

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Lynnessa Robyn Widelo Np 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 ID8820494644
PECOS Enrollment IDI20230420003037
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
55 services12 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27030 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

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

Social Worker (Clinical)
280 N POINTE BLVD STE 3
MOUNT AIRY, NC 27030
Physician Assistant
280 N POINTE BLVD STE 3
MOUNT AIRY, NC 27030

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 Lynnessa Widelo's NPI number?

The NPI number for Lynnessa Widelo is 1225704711. It was assigned to this individual provider in the NPPES registry on August 17, 2021.

Where is Lynnessa Widelo located?

Lynnessa Widelo practices at 280 N Pointe Blvd Ste 3, Mount Airy, NC 27030. The listed phone number is (336) 948-9333.

What is Lynnessa Widelo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Lynnessa Widelo enrolled in Medicare?

Yes. Lynnessa Widelo 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.

What insurance does Lynnessa Widelo accept?

Health plans from AmeriHealth Caritas Next and Blue Cross and Blue Shield of NC list Lynnessa Widelo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lynnessa Widelo was last updated on November 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.