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CRYSTAL LYNN WIDEMON APRN
NPI 1316838659
Nurse Practitioner - Family in Gilmer, TX

Active since July 14, 2025PECOS Enrolled
10186 SUMAC RD, GILMER, TX 75644(620) 433-0333 Get Directions Write a Review

NPPES record last updated: July 14, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Crystal Lynn Widemon Aprn NPPES

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

CRYSTAL LYNN WIDEMON APRN (NPI 1316838659) is an individual family provider in Gilmer, Texas, licensed in Texas (1204486) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1316838659
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCRYSTAL LYNN WIDEMONCredential: APRN
Location Address10186 SUMAC RDGilmer, TX 75644-5880
Mailing Address10186 Sumac RdGilmer, TX 75644-5880 · (620) 433-0333
Phone(620) 433-0333
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJuly 14, 2025
NPPES CertifiedJuly 14, 2025
✔ NPI 1316838659 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TX · 1204486
10186 SUMAC RD, Gilmer, TX 75644
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Crystal Lynn Widemon Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7810495298
PECOS Enrollment IDI20250814000383
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75644 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

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 Crystal Widemon's NPI number?

The NPI number for Crystal Widemon is 1316838659. It was assigned to this individual provider in the NPPES registry on July 14, 2025.

Where is Crystal Widemon located?

Crystal Widemon practices at 10186 Sumac Rd, Gilmer, TX 75644. The listed phone number is (620) 433-0333.

What is Crystal Widemon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Crystal Widemon enrolled in Medicare?

Yes. Crystal Widemon is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Crystal Widemon was last updated on July 14, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.