1. Home
  2. Directory
  3. Michigan
  4. Ionia
  5. Nurse Practitioner
  6. NPI Profile

DR. MATTHEW CHARLES WIDEMAN DNP, RN, AGNP-C
NPI 1871112904
Nurse Practitioner in Ionia, MI

Active since April 09, 2020
1727 W BLUEWATER HWY, IONIA, MI 48846(616) 527-2510 Get Directions Write a Review

NPPES record last updated: April 9, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Matthew Charles Wideman Dnp, Rn, Agnp-c NPPES

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

DR. MATTHEW CHARLES WIDEMAN DNP, RN, AGNP-C (NPI 1871112904) is an individual nurse practitioner in Ionia, Michigan, licensed in Michigan (4704287664NSA2001O) and active in the NPI registry since April 2020.

NPPES Registry Identity

NPI1871112904
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameDR. MATTHEW CHARLES WIDEMANCredential: DNP, RN, AGNP-C
Location Address1727 W BLUEWATER HWYIonia, MI 48846-8647
Mailing Address1727 W Bluewater HwyIonia, MI 48846-8647 · (616) 460-0071
Phone(616) 527-2510
Sole ProprietorNo
Enumeration DateApril 9, 2020
NPPES CertifiedApril 9, 2020
✔ NPI 1871112904 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 MI · 4704287664NSA2001O
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.
1727 W BLUEWATER HWY, Ionia, MI 48846
Open in Google Maps ↗

Other Providers at the Same Location NPPES

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

MRS. DENISE PATRICIA STEPANOVICH APRN
Nurse Practitioner (Adult Health)
1727 W BLUEWATER HWY
IONIA, MI 48846
Ionia County (616) 527-2510

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 Matthew Wideman's NPI number?

The NPI number for Matthew Wideman is 1871112904. It was assigned to this individual provider in the NPPES registry on April 9, 2020.

Where is Matthew Wideman located?

Matthew Wideman practices at 1727 W Bluewater Hwy, Ionia, MI 48846. The listed phone number is (616) 527-2510.

What is Matthew Wideman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Matthew Wideman was last updated on April 9, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.