DUSTIN WIDMANN
NPI 1790558252
Nurse Anesthetist, Certified Registered in Oxnard, CA
About Dustin Widmann NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DUSTIN WIDMANN (NPI 1790558252) is an individual nurse anesthetist, certified registered in Oxnard, California, licensed in California (95002226) and active in the NPI registry since November 2023. He is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
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
Dustin Widmann 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.
Medicare Billing Reassignments
7Medicare enrollment records show Dustin Widmann reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Thousand Oaks, CA 91361
- Reassigned Medicare billing, California enrollment
- 52 clinicians in this Medicare group
Santa Barbara, CA 93105
- Reassigned Medicare billing, California enrollment
- 38 clinicians in this Medicare group
Santa Barbara, CA 93105
- Reassigned Medicare billing, California enrollment
- 3 clinicians in this Medicare group
Santa Clarita, CA 91355
- Reassigned Medicare billing, California enrollment
- 833 clinicians in this Medicare group
Encino, CA 91436
- Reassigned Medicare billing, California enrollment
- 37 clinicians in this Medicare group
Manhattan Beach, CA 90266
- Reassigned Medicare billing, California enrollment
- 67 clinicians in this Medicare group
Fresno, CA 93720
- Reassigned Medicare billing, California enrollment
- 604 clinicians in this Medicare group
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 8
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 93030 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
OXNARD, CA 93030
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 Dustin Widmann's NPI number?
The NPI number for Dustin Widmann is 1790558252. It was assigned to this individual provider in the NPPES registry on November 6, 2023.
Where is Dustin Widmann located?
Dustin Widmann practices at 1600 N Rose Ave, Oxnard, CA 93030. The listed phone number is (805) 988-2500.
What is Dustin Widmann's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Dustin Widmann enrolled in Medicare?
Yes. Dustin Widmann 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 Dustin Widmann's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Dustin Widmann reassigns Medicare benefits to 7 organizations: Concierge Anesthesia (Thousand Oaks, CA), Hullander And Mozingo LP (Santa Barbara, CA), Pax Anesthesia Crna Nursing Apc (Santa Barbara, CA), Cep America - Anesthesia PC (Santa Clarita, CA), New Vision Nurse Anesthesia Group Inc (Encino, CA) and 2 more organizations, listed in the Medicare section above. 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 Dustin Widmann's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Dustin Widmann was last updated on November 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Dustin Widmann · NPI 1790558252
Nurse Anesthetist, Certified Registered physician in Oxnard, California. Individual provider, active in the CMS NPPES registry since November 6, 2023.
## Identity
- **NPI:** 1790558252 (Entity type: Individual)
- **Enumerated:** November 6, 2023
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 95002226 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1600 N ROSE AVE, Oxnard, CA 93030-3722
- **Phone:** (805) 988-2500
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 7 organizations under Medicare reassignment (form CMS-855R): Concierge Anesthesia (NPI 1447726997, Thousand Oaks, CA); Hullander And Mozingo LP (NPI 1164449880, Santa Barbara, CA); Pax Anesthesia Crna Nursing Apc (NPI 1457040834, Santa Barbara, CA); Cep America - Anesthesia PC (NPI 1205693058, Santa Clarita, CA); New Vision Nurse Anesthesia Group Inc (NPI 1609654102, Encino, CA); and 2 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** November 7, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1790558252) · Data from the CMS NPPES public registry.