MARY WIDENER
NPI 1508164856
Physician Assistant in Gillette, WY

Active since March 10, 2011PECOS EnrolledAccepts Medicare Assignment
71.6/100
CMS Quality Rating
407 S MEDICAL ARTS CT STE F, GILLETTE, WY 82716(307) 688-9255 Get Directions Write a Review

NPPES record last updated: May 24, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 24, 2021, Feb 24, 2021, Dec 5, 2019 (3 updates tracked since 2019).

About Mary Widener NPPES

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

MARY WIDENER (NPI 1508164856) is an individual physician assistant in Gillette, Wyoming, licensed in Wyoming (511) and active in the NPI registry since March 2011. She is enrolled in Medicare PECOS, is affiliated with Sheridan Memorial Hospital, and maintains a secondary practice location in Sheridan.

NPPES Registry Identity

NPI1508164856
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMARY WIDENER
Location Address407 S MEDICAL ARTS CT STE FGillette, WY 82716-3372
Mailing Address407 S Medical Arts Ct Ste FGillette, WY 82716-3372
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateMarch 10, 2011
Last NPPES UpdateMay 24, 20213 updates tracked since enumeration
NPPES CertifiedMay 24, 2021
NPI 1508164856 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in WY · 511 Licensed in CA · PA53799
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
407 S MEDICAL ARTS CT STE F, Gillette, WY 82716

Secondary Practice Location 1

Location 11401 W 5th StSheridan, WY 82801-2705 · Phone (307) 672-1100

Accepted 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

Mary Widener 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 ID2567603210
PECOS Enrollment IDI20130723000954
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

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.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
41 services41 patients

Hospital Affiliations CMS Care Compare 2

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

Sheridan Memorial Hospital

Acute Care Hospitals · Sheridan, WY
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number530006
Location1401 W 5th StSheridan, WY 82801 · Sheridan County
Emergency services

St Johns Medical Center

Acute Care Hospitals · Jackson, WY
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number530015
Location625 East BroadwayJackson, WY 83001 · Teton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 82716 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
$87.12 typical visit price
range $56.42 – $170.72
Typical copayment $21.78 (range $14.10 – $42.68)
Most-billed visit code 99203
Established Patient
$70.32 typical visit price
range $18.19 – $139.32
Typical copayment $17.58 (range $4.54 – $34.83)
Most-billed visit code 99213
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.

71.6/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality60.8
Promoting Interoperability95
Improvement Activities40
Cost48.7

Other Providers at the Same Location NPPES

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

Otolaryngology (Otolaryngology/Facial Plastic Surgery)
407 S MEDICAL ARTS CT STE F
GILLETTE, WY 82716

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 Mary Widener's NPI number?

The NPI number for Mary Widener is 1508164856. It was assigned to this individual provider in the NPPES registry on March 10, 2011.

Where is Mary Widener located?

Mary Widener practices at 407 S Medical Arts Ct Ste F, Gillette, WY 82716. The listed phone number is (307) 688-9255.

What is Mary Widener's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Mary Widener enrolled in Medicare?

Yes. Mary 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 Mary Widener accept?

Health plans from Blue Cross Blue Shield of Wyoming and Medica list Mary 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 Mary Widener affiliated with any hospitals?

According to CMS data, Mary Widener is affiliated with Sheridan Memorial Hospital and St Johns Medical Center.

When was this NPI record last updated?

The NPPES record for Mary Widener was last updated on May 24, 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.