TONYA WIDENER APRN
NPI 1487058574
Nurse Practitioner in Edgewood, KY

Q: What is Tonya Widener's NPI number?

The NPI number for Tonya Widener is 1487058574. It was assigned to this individual provider in the NPPES registry on October 17, 2014.

Q: What is Tonya Widener's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Tonya Widener was last updated on December 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 October 17, 2014PECOS EnrolledAccepts Medicare Assignment

95.5/100

CMS Quality Rating

711 MEDICAL VILLAGE DRIVE, EDGEWOOD, KY 41017(859) 331-3353(859) 331-3326 Get Directions Write a Review

NPPES record last updated: December 18, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 18, 2025, Mar 13, 2023, Feb 12, 2023 and 1 more (4 updates tracked since 2020).

On this page

About Tonya Widener Aprn NPPES

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

TONYA WIDENER APRN (NPI 1487058574) is an individual nurse practitioner in Edgewood, Kentucky, licensed in Kentucky (3009037) and active in the NPI registry since October 2014. She is enrolled in Medicare PECOS, is affiliated with St Elizabeth Ft Thomas, and maintains a secondary practice location in Edgewood.

NPPES Registry Identity

NPI1487058574

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameTONYA WIDENERCredential: APRN

Location Address711 MEDICAL VILLAGE DRIVEEdgewood, KY 41017-3439

Mailing AddressP.o. Box 636324Cincinnati, OH 45263-6324 · (859) 344-5555 · Fax (859) 344-5552

Phone(859) 331-3353

Fax(859) 331-3326

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateOctober 17, 2014

Last NPPES UpdateDecember 18, 20254 updates tracked since enumeration

NPPES CertifiedDecember 18, 2025

✔ NPI 1487058574 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in KY · 3009037

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License APRN11024559 (FL)

711 MEDICAL VILLAGE DRIVE, Edgewood, KY 41017

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Secondary Practice Location 1

Location 11 Medical Village DriveEdgewood, KY 41017-3403 · Phone (859) 301-2000 · Fax (859) 331-3326

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.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

Tonya Widener Aprn 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 ID2163744376

PECOS Enrollment IDI20141125000720

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.

Areas of Expertise CMS Part B claims 4

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

78 services55 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

58 services58 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

55 services53 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

15 services15 patients

Hospital Affiliations CMS Care Compare 3

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

St Elizabeth Ft Thomas

Acute Care Hospitals · Fort Thomas, KY

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180001

Location85 North Grand AvenueFort Thomas, KY 41075 · Campbell County

Emergency services

St Elizabeth Edgewood

Acute Care Hospitals · Edgewood, KY

5/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number180035

Location1 Medical Village DriveEdgewood, KY 41017 · Kenton County

Emergency services Birthing friendly

St Elizabeth Grant

Critical Access Hospitals · Williamstown, KY

OwnershipVoluntary non-profit - Church

CMS Certification Number181311

Location238 Barnes RoadWilliamstown, KY 41097 · Grant County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41017 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

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.5/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

89.59

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

2 suppliers16 claims16 services$20.01 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier12 claims12 services$105.67 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

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

DEANNA LYNNE WINTER CNP

Nurse Practitioner

711 MEDICAL VILLAGE DRIVE
EDGEWOOD, KY 41017

Kenton County (859) 331-3353

LIA VILARDO APRN

Nurse Practitioner

711 MEDICAL VILLAGE DRIVE
EDGEWOOD, KY 41017

Kenton County (859) 287-3045

ANUSHA GOPALKRISHNA SHANBHAG

Internal Medicine (Cardiovascular Disease)

711 MEDICAL VILLAGE DRIVE
EDGEWOOD, KY 41017

Kenton County (859) 287-3045

SAADEDDINE DUGHMAN MD

Internal Medicine (Cardiovascular Disease)

711 MEDICAL VILLAGE DRIVE
EDGEWOOD, KY 41017

Kenton County (859) 287-3045

HASSAN R SALEH MD

Internal Medicine (Interventional Cardiology)

711 MEDICAL VILLAGE DRIVE, INTERNAL MEDICINE
EDGEWOOD, KY 41017

Kenton County (859) 287-3045

DR. AMIT SRIVASTAVA M.D.

Internal Medicine (Interventional Cardiology)

711 MEDICAL VILLAGE DRIVE
EDGEWOOD, KY 41017

Kenton County (859) 287-3045

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 Tonya Widener's NPI number?

The NPI number for Tonya Widener is 1487058574. It was assigned to this individual provider in the NPPES registry on October 17, 2014.

Where is Tonya Widener located?

Tonya Widener practices at 711 Medical Village Drive, Edgewood, KY 41017. The listed phone number is (859) 331-3353.

What is Tonya Widener's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Tonya Widener enrolled in Medicare?

Yes. Tonya Widener 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.

What insurance does Tonya Widener accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and CareSource list Tonya Widener 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 Tonya Widener affiliated with any hospitals?

According to CMS data, Tonya Widener is affiliated with St Elizabeth Ft Thomas, St Elizabeth Edgewood and St Elizabeth Grant.

When was this NPI record last updated?

The NPPES record for Tonya Widener was last updated on December 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.