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DR. LYLITH SKYE WIDMER M.D.
NPI 1720221211
Family Medicine in Haines, AK

Active since April 13, 2009PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: September 26, 2018. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Lylith Skye Widmer M.d. NPPES

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

DR. LYLITH SKYE WIDMER M.D. (NPI 1720221211) is an individual family medicine provider in Haines, Alaska, licensed in Alaska (7648) and active in the NPI registry since April 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1720221211
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. LYLITH SKYE WIDMERCredential: M.D.
Location Address131 1ST AVEHaines, AK 99827
Mailing AddressPo Box 1782Haines, AK 99827-1782 · (907) 766-6335
Phone(907) 766-6335
Sole ProprietorYes
Medical School CMSOtherGraduated 2008
Enumeration DateApril 13, 2009
Last NPPES UpdateSeptember 26, 2018
✔ NPI 1720221211 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in AK · 7648
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
131 1ST AVE, Haines, AK 99827
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Other Names 1

Former Name (1)Ms. Kristen Lyn Widmer Md

Other Identifiers 1

Medicaid1571200AK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska.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

Dr. Lylith Skye Widmer M.d. 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 ID4880845577
PECOS Enrollment IDI20121105000686
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.

Medicare Billing Reassignments

2

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

South East Alaska Regional Health Consortium
Same address
Clinic/Center
131 1ST STREET SOUTH
Haines, AK 99827
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Southeast Alaska Regional Health Consortium
  • 640 clinicians in this Medicare group
NPI 1932184298 (907) 766-6300
Tanana Chiefs Conference
555 mi
Multi-Specialty
1717 W COWLES ST
Fairbanks, AK 99701
  • Reassigned Medicare billing, Texas enrollment
  • 207 clinicians in this Medicare group
NPI 1821201278 (907) 451-6682

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

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.

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.
33 services23 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.
29 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99827 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
$111.57 typical visit price
range $71.33 – $222.64
Typical copayment $27.89 (range $17.83 – $55.66)
Most-billed visit code 99203
Established Patient
$128.73 typical visit price
range $21.84 – $181.48
Typical copayment $32.18 (range $5.46 – $45.37)
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 2

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

PAMELA J SLOPER RN
Registered Nurse
131 1ST AVE, SEARHC/HAINES HEALTH CENTER
HAINES, AK 99827
Haines Borough (907) 766-6367
LAURIE ALICE KEEFER RN
Registered Nurse
131 1ST AVE
HAINES, AK 99827
Haines Borough (907) 766-6300

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 Lylith Widmer's NPI number?

The NPI number for Lylith Widmer is 1720221211. It was assigned to this individual provider in the NPPES registry on April 13, 2009. The provider is also known as Ms. Kristen Lyn Widmer MD.

Where is Lylith Widmer located?

Lylith Widmer practices at 131 1st Ave, Haines, AK 99827. The listed phone number is (907) 766-6335.

What is Lylith Widmer's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Lylith Widmer enrolled in Medicare?

Yes. Lylith Widmer 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 Lylith Widmer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lylith Widmer reassigns Medicare benefits to 2 organizations: South East Alaska Regional Health Consortium (Haines, AK) and Tanana Chiefs Conference (Fairbanks, AK). 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 Lylith Widmer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lylith Widmer accept?

Health plans from Moda Health Plan, Inc. and Premera Blue Cross Blue Shield of Alaska list Lylith Widmer 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.

When was this NPI record last updated?

The NPPES record for Lylith Widmer was last updated on September 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.