KATHLEEN ANN WIDMER APRN, CNP
NPI 1366227910
Nurse Practitioner - Family in Minneapolis, MN
About Kathleen Ann Widmer Aprn, Cnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATHLEEN ANN WIDMER APRN, CNP (NPI 1366227910) is an individual family provider in Minneapolis, Minnesota, licensed in Minnesota (10724) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS, is affiliated with M Health Fairview University Of Mn, and is a graduate of University Of Wisconsin School Of Medicine (2016).
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
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
Kathleen Ann Widmer Aprn, Cnp 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.
Medicare Billing Reassignments
3Medicare enrollment records show Kathleen Widmer reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Brooklyn Park, MN 55443
- Reassigned Medicare billing, Minnesota enrollment
- 2,302 clinicians in this Medicare group
Brooklyn Park, MN 55443
- Reassigned Medicare billing, Minnesota enrollment
- 3,633 clinicians in this Medicare group
Minneapolis, MN 55454
- Reassigned Medicare billing, Minnesota enrollment
- 4,038 clinicians in this Medicare group
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 10
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
M Health Fairview University Of Mn
Acute Care Hospitals · Minneapolis, MNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55443 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
BROOKLYN PARK, MN 55443
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 Kathleen Widmer's NPI number?
The NPI number for Kathleen Widmer is 1366227910. It was assigned to this individual provider in the NPPES registry on August 30, 2023.
Where is Kathleen Widmer located?
Kathleen Widmer practices at 10000 Zane Ave N, Minneapolis, MN 55443. The listed phone number is (763) 528-6999.
What is Kathleen Widmer's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kathleen Widmer enrolled in Medicare?
Yes. Kathleen Widmer 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 Kathleen Widmer's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kathleen Widmer reassigns Medicare benefits to 3 organizations: Fairview Clinics (Brooklyn Park, MN), Fairview Express Care (Brooklyn Park, MN) and Fairview Health Services (Minneapolis, MN). 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 Kathleen Widmer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Kathleen Widmer affiliated with any hospitals?
According to CMS data, Kathleen Widmer is affiliated with M Health Fairview University Of Mn.
When was this NPI record last updated?
The NPPES record for Kathleen Widmer was last updated on November 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Kathleen Ann Widmer, APRN, CNP · NPI 1366227910
Family physician in Minneapolis, Minnesota. Individual provider, active in the CMS NPPES registry since August 30, 2023.
## Identity
- **NPI:** 1366227910 (Entity type: Individual)
- **Enumerated:** August 30, 2023
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 10724 (Minnesota)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 10000 ZANE AVE N, Minneapolis, MN 55443-1400
- **Phone:** (763) 528-6999
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Fairview Clinics (NPI 1679754998, Brooklyn Park, MN); Fairview Express Care (NPI 1780973610, Brooklyn Park, MN); Fairview Health Services (NPI 1013994359, Minneapolis, MN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Wisconsin School Of Medicine, class of 2016
## Record status
- **NPPES last updated:** November 22, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1366227910) · Data from the CMS NPPES public registry.