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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: October 25, 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.

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
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
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

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 Reassignment

Medicare enrollment records show Crystal Widemon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mana Health Partners Tx PLLC
222 mi
Internal Medicine
7633 BELLFORT ST
Houston, TX 77061
  • Reassigned Medicare billing, Texas enrollment
  • 58 clinicians in this Medicare group
NPI 1639970734 (713) 644-2102

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

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.

Which organization bills Medicare for Crystal Widemon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Crystal Widemon reassigns Medicare benefits to Mana Health Partners Tx PLLC (Houston, TX). The 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 Crystal Widemon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Crystal Widemon accept?

Health plans from Blue Cross and Blue Shield of Texas list Crystal Widemon 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 Crystal Widemon was last updated on July 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.