WALLETTE GWEN WIDENER NP
NPI 1669580262
Nurse Practitioner in Savannah, GA

Q: What is Wallette Widener's NPI number?

The NPI number for Wallette Widener is 1669580262. It was assigned to this individual provider in the NPPES registry on August 25, 2006.

Q: What is Wallette 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 Wallette Widener was last updated on August 5, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since August 25, 2006PECOS EnrolledAccepts Medicare Assignment

6602 WATERS AVE BLDG C, SAVANNAH, GA 31406(912) 354-7676(912) 790-6456 Get Directions Write a Review

NPPES record last updated: August 5, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Wallette Gwen Widener Np NPPES

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

WALLETTE GWEN WIDENER NP (NPI 1669580262) is an individual nurse practitioner in Savannah, Georgia, licensed in Georgia (RN113693) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Candler Hospital, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1669580262

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameWALLETTE GWEN WIDENERCredential: NP

Location Address6602 WATERS AVE BLDG CSavannah, GA 31406-2716

Mailing Address6602 Waters Ave Bldg CSavannah, GA 31406-2716 · (912) 354-7676 · Fax (912) 790-6456

Phone(912) 354-7676

Fax(912) 790-6456

Sole ProprietorNo

Medical School CMSOtherGraduated 2002

Enumeration DateAugust 25, 2006

Last NPPES UpdateAugust 5, 2010

✔ NPI 1669580262 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in GA · RN113693

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.

6602 WATERS AVE BLDG C, Savannah, GA 31406

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Other Identifiers 3

Medicare ID-Type Unspecified50BBJDSGA · Medicare Number

Medicare UPINQ38524GA

Medicaid410170417AGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama 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

Wallette Gwen Widener Np 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 ID4880649961

PECOS Enrollment IDI20050322000552

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 2

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

Candler Hospital

Acute Care Hospitals · Savannah, GA

1/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number110024

Location5353 Reynolds StreetSavannah, GA 31412 · Chatham County

Emergency services Birthing friendly

St Joseph's Hospital - Savannah

Acute Care Hospitals · Savannah, GA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110043

Location11705 Mercy BoulevardSavannah, GA 31419 · Chatham County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31406 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

$83.23 typical visit price

range $53.31 – $164.04

Typical copayment $20.80 (range $13.32 – $41.01)

Most-billed visit code 99203

Established Patient

$94.84 typical visit price

range $16.68 – $133.24

Typical copayment $23.71 (range $4.17 – $33.31)

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 13

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

CAROLINE SHEALY SAUERS APRN, FNP-BC

Nurse Practitioner (Family)