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MACKENZIE WIDMAIER CRNA
NPI 1558112409
Nurse Anesthetist, Certified Registered in Danville, PA

Active since March 28, 2024Accepts Medicare Assignment
100 N ACADEMY AVE, DANVILLE, PA 17822(570) 271-6621(570) 271-6762 Get Directions Write a Review

NPPES record last updated: August 14, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mackenzie Widmaier Crna NPPES

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

MACKENZIE WIDMAIER CRNA (NPI 1558112409) is an individual nurse anesthetist, certified registered in Danville, Pennsylvania, licensed in Pennsylvania (RN708029) and active in the NPI registry since March 2024. She is affiliated with Geisinger Medical Center and is a graduate of Other (2026).

NPPES Registry Identity

NPI1558112409
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameMACKENZIE WIDMAIERCredential: CRNA
Location Address100 N ACADEMY AVEDanville, PA 17822-9800
Mailing Address100 N Academy AveDanville, PA 17822-4903 · (570) 271-6621 · Fax (570) 271-6762
Phone(570) 271-6621
Fax(570) 271-6762
Sole ProprietorYes
Medical School CMSOtherGraduated 2026
Enumeration DateMarch 28, 2024
Last NPPES UpdateAugust 14, 2026
NPPES CertifiedAugust 14, 2026
✔ NPI 1558112409 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in PA · RN708029
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
100 N ACADEMY AVE, Danville, PA 17822
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Other Names 1

Former Name (1)Mackenzie Clark Crna

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

Mackenzie Widmaier Crna 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 ID6103381678
PECOS Enrollment IDI20260724002392

Medicare Billing Reassignments

2

Medicare enrollment records show Mackenzie Widmaier reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Geisinger Clinic
Same address
Orthopaedic Surgery
100 N ACADEMY AVE
Danville, PA 17822
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 4,429 clinicians in this Medicare group
NPI 1184675613 (570) 271-6211
Geisinger-Hm Joint Venture LLC
21 mi
Internal Medicine
255 ROUTE 220 HIGHWAY
Muncy, PA 17756
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,405 clinicians in this Medicare group
NPI 1952076119 (570) 308-2600

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

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

Geisinger Medical Center

Acute Care Hospitals · Danville, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390006
Location100 North Academy AvenueDanville, PA 17822 · Montour County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17822 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

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.

DR. TARA JEAN LOUX MD
Surgery (Pediatric Surgery)
100 N ACADEMY AVE
DANVILLE, PA 17822
Montour County (570) 214-7967
MS. DENISE K HACKMAN RD, LDN
Dietitian, Registered
100 N ACADEMY AVE
DANVILLE, PA 17822
Montour County (570) 271-5332
DR. DANIEL CARROLL GEARY MD
Emergency Medicine
100 N ACADEMY AVE
DANVILLE, PA 17822
Montour County (570) 271-6212
MS. MONISA DEANNE WAGNER
Physician Assistant
100 N ACADEMY AVE
DANVILLE, PA 17822
Montour County (570) 271-7910
JESSICA LYNN CARNEY
Pediatrics
100 N ACADEMY AVE
DANVILLE, PA 17822
Montour County (570) 271-7910
CHRISTIE BUONPANE
Surgery (Pediatric Surgery)
100 N ACADEMY AVE
DANVILLE, PA 17822
Montour County (570) 271-6211
MAURA ELIZABETH GABLE D.O.
Pediatrics (Neonatal-Perinatal Medicine)
100 N ACADEMY AVE
DANVILLE, PA 17822
Montour County (570) 271-7910
ROSLYN MARIE FEASTER
Nurse Anesthetist, Certified Registered
100 N ACADEMY AVE
DANVILLE, PA 17822
Montour County (570) 271-6211

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 Mackenzie Widmaier's NPI number?

The NPI number for Mackenzie Widmaier is 1558112409. It was assigned to this individual provider in the NPPES registry on March 28, 2024. The provider is also known as Mackenzie Clark Crna.

Where is Mackenzie Widmaier located?

Mackenzie Widmaier practices at 100 N Academy Ave, Danville, PA 17822. The listed phone number is (570) 271-6621.

What is Mackenzie Widmaier's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Mackenzie Widmaier enrolled in Medicare?

Yes. Mackenzie Widmaier 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 Mackenzie Widmaier's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mackenzie Widmaier reassigns Medicare benefits to 2 organizations: Geisinger Clinic (Danville, PA) and Geisinger-Hm Joint Venture LLC (Muncy, PA). 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 Mackenzie Widmaier's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Mackenzie Widmaier affiliated with any hospitals?

According to CMS data, Mackenzie Widmaier is affiliated with Geisinger Medical Center.

When was this NPI record last updated?

The NPPES record for Mackenzie Widmaier was last updated on August 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.