KELSEY JEAN WIDGEON
NPI 1356010425
Registered Nurse in Waterloo, IA

Q: What is Kelsey Widgeon's NPI number?

The NPI number for Kelsey Widgeon is 1356010425. It was assigned to this individual provider in the NPPES registry on September 10, 2021.

Q: What is Kelsey Widgeon's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

Q: When was this NPI record last updated?

The NPPES record for Kelsey Widgeon was last updated on September 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since September 10, 2021PECOS Enrolled

1825 LOGAN AVE, WATERLOO, IA 50703(319) 235-3607(319) 235-3958 Get Directions Write a Review

NPPES record last updated: September 10, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

On this page

About Kelsey Jean Widgeon NPPES

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

KELSEY JEAN WIDGEON (NPI 1356010425) is an individual registered nurse in Waterloo, Iowa, licensed in Iowa (144542) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS, is affiliated with Allen Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1356010425

Entity TypeIndividualFemale

Primary Taxonomy163W00000X

Provider Legal NameKELSEY JEAN WIDGEON

Location Address1825 LOGAN AVEWaterloo, IA 50703-1916

Mailing Address1825 Logan AveWaterloo, IA 50703-1916 · (319) 235-3607 · Fax (319) 235-3958

Phone(319) 235-3607

Fax(319) 235-3958

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateSeptember 10, 2021

NPPES CertifiedSeptember 9, 2021

✔ NPI 1356010425 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered NurseNursing Service Providers

Taxonomy Code163W00000X

License✔ Licensed in IA · 144542

Definition

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

1825 LOGAN AVE, Waterloo, IA 50703

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Wellmark Health Plan of Iowa, Inc..Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelsey Jean Widgeon is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9739571134

PECOS Enrollment IDI20220114001601

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 Kelsey Widgeon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Allen Memorial Hospital Corporation

Same address

Emergency Medicine

1825 LOGAN AVE
Waterloo, IA 50703

Reassigned Medicare billing, Iowa enrollment
273 clinicians in this Medicare group

NPI 1346292521 (319) 235-3941

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

Areas of Expertise CMS Part B claims 3

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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

142 services40 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

23 services22 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.

21 services21 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Allen Hospital

Acute Care Hospitals · Waterloo, IA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number160110

Location1825 Logan AvenueWaterloo, IA 50703 · Black Hawk County

Emergency services Birthing friendly

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. KEERAN GHANDIVEL MD

Anesthesiology

1825 LOGAN AVE
WATERLOO, IA 50703

Black Hawk County (319) 235-3886

MS. AMANDA L. VERVAECKE A.R.N.P.

Nurse Practitioner

1825 LOGAN AVE, WOUND & OSTOMY CLINIC
WATERLOO, IA 50703

Black Hawk County (319) 235-3121

TAYLOR KRISTIN KLINE PA, RDN

Physician Assistant

1825 LOGAN AVE
WATERLOO, IA 50703

Black Hawk County (319) 235-3941

ALLEN MEMORIAL HOSPITAL CORPORATION LAB

Clinical Medical Laboratory

1825 LOGAN AVE
WATERLOO, IA 50703

Black Hawk County (319) 235-3941

ELVIS SABIC ARNP

Nurse Practitioner (Family)

1825 LOGAN AVE
WATERLOO, IA 50703

Black Hawk County (319) 235-3941

DR. PRADEEP MANJANBAIL RAMESH MD

Internal Medicine

1825 LOGAN AVE
WATERLOO, IA 50703

Black Hawk County (319) 235-3838

SUSAN MUELLER PHARMD

Pharmacist

1825 LOGAN AVE
WATERLOO, IA 50703

Black Hawk County (319) 235-3510

HANNAH LEIGH KELLEY LMSW

Social Worker (Clinical)

1825 LOGAN AVE
WATERLOO, IA 50703

Black Hawk County (563) 271-7700

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 Kelsey Widgeon's NPI number?

The NPI number for Kelsey Widgeon is 1356010425. It was assigned to this individual provider in the NPPES registry on September 10, 2021.

Where is Kelsey Widgeon located?

Kelsey Widgeon practices at 1825 Logan Ave, Waterloo, IA 50703. The listed phone number is (319) 235-3607.

What is Kelsey Widgeon's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

Is Kelsey Widgeon enrolled in Medicare?

Yes. Kelsey Widgeon is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kelsey Widgeon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelsey Widgeon reassigns Medicare benefits to Allen Memorial Hospital Corporation (Waterloo, IA). 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 Kelsey Widgeon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelsey Widgeon accept?

Health plans from Medica and Wellmark Health Plan of Iowa, Inc. list Kelsey Widgeon 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.

Is Kelsey Widgeon affiliated with any hospitals?

According to CMS data, Kelsey Widgeon is affiliated with Allen Hospital.

When was this NPI record last updated?

The NPPES record for Kelsey Widgeon was last updated on September 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.