AMBER LIEVENS WIDENSKI D.O.
NPI 1417255902
Emergency Medicine in New London, WI

Q: What is Amber Widenski's NPI number?

The NPI number for Amber Widenski is 1417255902. It was assigned to this individual provider in the NPPES registry on March 7, 2011. The provider is also known as Amber Marie Lievens.

Q: What is Amber Widenski's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Amber Widenski was last updated on December 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.

Active since March 07, 2011PECOS EnrolledAccepts Medicare Assignment

1405 MILL ST, NEW LONDON, WI 54961(920) 531-2030 Get Directions Write a Review

NPPES record last updated: December 4, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 4, 2024, Sep 8, 2023, Dec 29, 2021 and 1 more (4 updates tracked since 2016).

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About Amber Lievens Widenski D.o. NPPES

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

AMBER LIEVENS WIDENSKI D.O. (NPI 1417255902) is an individual emergency medicine provider in New London, Wisconsin, licensed in Wisconsin (63792-21) and active in the NPI registry since March 2011. She is enrolled in Medicare PECOS, is affiliated with Thedacare Regional Med Ctr - Neenah, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1417255902

Entity TypeIndividualFemale

Primary Taxonomy207P00000X

Provider Legal NameAMBER LIEVENS WIDENSKICredential: D.O.

Location Address1405 MILL STNew London, WI 54961-2155

Mailing Address3 Neenah CtrNeenah, WI 54956-3070 · (920) 531-2030

Phone(920) 531-2030

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateMarch 7, 2011

Last NPPES UpdateDecember 4, 20244 updates tracked since enumeration

NPPES CertifiedDecember 4, 2024

✔ NPI 1417255902 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in WI · 63792-21

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

1405 MILL ST, New London, WI 54961

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Other Names 1

Former Name (1)Amber Marie Lievens

Other Identifiers 1

Medicaid1417255902WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare).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

Amber Lievens Widenski D.o. 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 ID1951535558

PECOS Enrollment IDI20150610002099

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.

Hospital Affiliations CMS Care Compare 4

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

Thedacare Regional Med Ctr - Neenah

Acute Care Hospitals · Neenah, WI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520045

Location130 2nd StNeenah, WI 54956 · Winnebago County

Emergency services Birthing friendly

Thedacare Regional Medical Center - Appleton Inc

Acute Care Hospitals · Appleton, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520160

Location1818 N Meade StAppleton, WI 54911 · Outagamie County

Emergency services Birthing friendly

Froedtert Community Hospital

Acute Care Hospitals · New Berlin, WI

OwnershipVoluntary non-profit - Private

CMS Certification Number520213

Location4805 S Moorland RdNew Berlin, WI 53151 · Waukesha County

Emergency services

Berlin Memorial Hospital

Critical Access Hospitals · Berlin, WI

OwnershipVoluntary non-profit - Private

CMS Certification Number521355

Location225 Memorial DriveBerlin, WI 54923 · Green Lake County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54961 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

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

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 20

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

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