AMBER LIEVENS WIDENSKI D.O.
NPI 1417255902
Emergency Medicine in New London, WI
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 maintains a secondary practice location in Hartford.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Other Identifiers 1
Accepted Insurance
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
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.
Medicare Billing Reassignments
9Medicare enrollment records show Amber Widenski reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
New London, WI 54961
- Reassigned Medicare billing, Wisconsin enrollment
- 56 clinicians in this Medicare group
Waupaca, WI 54981
- Reassigned Medicare billing, Wisconsin enrollment
- Also billed through NPI 1013995521 (Wisconsin)
- 110 clinicians in this Medicare group
Appleton, WI 54911
- Reassigned Medicare billing, Wisconsin enrollment
- 35 clinicians in this Medicare group
Shawano, WI 54166
- Reassigned Medicare billing, Wisconsin enrollment
- 70 clinicians in this Medicare group
Wild Rose, WI 54984
- Reassigned Medicare billing, Wisconsin enrollment
- 28 clinicians in this Medicare group
Berlin, WI 54923
- Reassigned Medicare billing, Wisconsin enrollment
- 104 clinicians in this Medicare group
Sheboygan, WI 53081
- Reassigned Medicare billing, Wisconsin enrollment
- 4,609 clinicians in this Medicare group
Menomonee Falls, WI 53051
- Reassigned Medicare billing, Wisconsin enrollment
- 2,294 clinicians in this Medicare group
Milwaukee, WI 53226
- Reassigned Medicare billing, Wisconsin enrollment
- 3,983 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.
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, WIThedacare Regional Medical Center - Appleton Inc
Acute Care Hospitals · Appleton, WIFroedtert Community Hospital
Acute Care Hospitals · New Berlin, WIBerlin Memorial Hospital
Critical Access Hospitals · Berlin, WIPhysician 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.
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.
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 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.
Where is Amber Widenski located?
Amber Widenski practices at 1405 Mill St, New London, WI 54961. The listed phone number is (920) 531-2030.
What is Amber Widenski's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Amber Widenski enrolled in Medicare?
Yes. Amber Widenski 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 Amber Widenski's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Amber Widenski reassigns Medicare benefits to 9 organizations: Thedacare Medical Center - New London, Inc. (New London, WI), Thedacare Medical Center - Waupaca, Inc. (Waupaca, WI), Thedacare Regional Medical Center - Appleton, Inc. (Appleton, WI), Thedacare Medical Center - Shawano, Inc. (Shawano, WI), Thedacare Medical Center - Wild Rose, Inc (Wild Rose, WI) and 4 more organizations, listed in the Medicare section above. 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 Amber Widenski's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Amber Widenski accept?
Health plans from CareSource (Common Ground Healthcare) list Amber Widenski 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 Amber Widenski affiliated with any hospitals?
According to CMS data, Amber Widenski is affiliated with Thedacare Regional Med Ctr - Neenah, Thedacare Regional Medical Center - Appleton Inc, Froedtert Community Hospital and Berlin Memorial Hospital.
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 22 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.
# Amber Lievens Widenski, D.O. · NPI 1417255902
Emergency Medicine physician in New London, Wisconsin. Individual provider, active in the CMS NPPES registry since March 7, 2011.
## Identity
- **NPI:** 1417255902 (Entity type: Individual)
- **Enumerated:** March 7, 2011
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 63792-21 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 1405 MILL ST, New London, WI 54961-2155
- **Phone:** (920) 531-2030
## 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:** 9 organizations under Medicare reassignment (form CMS-855R): Thedacare Medical Center - New London, Inc. (NPI 1538127220, New London, WI); Thedacare Medical Center - Waupaca, Inc. (NPI 1780782680, Waupaca, WI); Thedacare Regional Medical Center - Appleton, Inc. (NPI 1902832306, Appleton, WI); Thedacare Medical Center - Shawano, Inc. (NPI 1548260839, Shawano, WI); Thedacare Medical Center - Wild Rose, Inc (NPI 1043263999, Wild Rose, WI); and 4 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2011
## Record status
- **NPPES last updated:** December 4, 2024
- **Other identifiers:** Medicaid 1417255902 (WI)
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Source: [NPI Profile](https://npiprofile.com/npi/1417255902) · Data from the CMS NPPES public registry.