MISS HEATHER LYNN WIDELL PA-C
NPI 1902216377
Physician Assistant - Medical in Lackland Afb, TX
About Miss Heather Lynn Widell Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MISS HEATHER LYNN WIDELL PA-C (NPI 1902216377) is an individual medical provider in Lackland Afb, Texas and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Miss Heather Lynn Widell Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
JBSA LACKLAND, TX 78236
JBSA LACKLAND, TX 78236
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 Heather Widell's NPI number?
The NPI number for Heather Widell is 1902216377. It was assigned to this individual provider in the NPPES registry on May 6, 2014.
Where is Heather Widell located?
Heather Widell practices at 1100 Wilford Hall Loop, Lackland Afb, TX 78236. The listed phone number is (210) 808-3415.
What is Heather Widell's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Heather Widell enrolled in Medicare?
Yes. Heather Widell is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Heather Widell was last updated on December 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Miss Heather Lynn Widell, PA-C · NPI 1902216377
Medical physician in Lackland Afb, Texas. Individual provider, active in the CMS NPPES registry since May 6, 2014.
## Identity
- **NPI:** 1902216377 (Entity type: Individual)
- **Enumerated:** May 6, 2014
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **Sole proprietor:** No
## Practice location
- **Address:** 1100 WILFORD HALL LOOP, Lackland Afb, TX 78236-5638
- **Phone:** (210) 808-3415
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** December 18, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1902216377) · Data from the CMS NPPES public registry.