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CHRISTIAN EDWARD WIDDER MD
NPI 1861242018
Student in an Organized Health Care Education/Training Program in Appleton, WI

Active since March 22, 2024PECOS Enrolled
100 N ONEIDA ST, APPLETON, WI 54911(920) 832-2783 Get Directions Write a Review

NPPES record last updated: May 11, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Christian Edward Widder Md NPPES

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

CHRISTIAN EDWARD WIDDER MD (NPI 1861242018) is an individual student in an organized health care education/training program in Appleton, Wisconsin and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861242018
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameCHRISTIAN EDWARD WIDDERCredential: MD
Location Address100 N ONEIDA STAppleton, WI 54911-4733
Mailing Address100 N Oneida StAppleton, WI 54911-4733 · (920) 832-2783
Phone(920) 832-2783
Sole ProprietorNo
Enumeration DateMarch 22, 2024
Last NPPES UpdateMay 11, 2026
NPPES CertifiedMay 11, 2026
✔ NPI 1861242018 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
100 N ONEIDA ST, Appleton, WI 54911
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Christian Edward Widder Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 14

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

EZRAH CHUKWUNONSO ONYEJIDE MD
Student in an Organized Health Care Education/Training Program
100 N ONEIDA ST
APPLETON, WI 54911
Outagamie County (920) 832-2783
EMILY CALBA MD
Student in an Organized Health Care Education/Training Program
100 N ONEIDA ST
APPLETON, WI 54911
Outagamie County (920) 832-2783
DR. BRIAN SCOTT NEIHEISEL DO
Student in an Organized Health Care Education/Training Program
100 N ONEIDA ST
APPLETON, WI 54911
Outagamie County (920) 832-2783
MOSAIC FAMILY HEALTH, INC
Family Medicine
100 N ONEIDA ST
APPLETON, WI 54911
Outagamie County (920) 832-2783
MADELINE ANN LENZ DO
Student in an Organized Health Care Education/Training Program
100 N ONEIDA ST
APPLETON, WI 54911
Outagamie County (920) 832-2783
MATTHEW READER MD
Student in an Organized Health Care Education/Training Program
100 N ONEIDA ST
APPLETON, WI 54911
Outagamie County (920) 832-2783
ANNE WALLACE
Student in an Organized Health Care Education/Training Program
100 N ONEIDA ST
APPLETON, WI 54911
Outagamie County (920) 832-2783
JOAO LISBOA SILVA MD
Student in an Organized Health Care Education/Training Program
100 N ONEIDA ST
APPLETON, WI 54911
Outagamie County (920) 832-2783

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 Christian Widder's NPI number?

The NPI number for Christian Widder is 1861242018. It was assigned to this individual provider in the NPPES registry on March 22, 2024.

Where is Christian Widder located?

Christian Widder practices at 100 N Oneida St, Appleton, WI 54911. The listed phone number is (920) 832-2783.

What is Christian Widder's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Christian Widder enrolled in Medicare?

Yes. Christian Widder is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Christian Widder was last updated on May 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.