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Kelsey Jean Widgeon

NPI 1356010425ActiveIndividual· Registered Nurse· Waterloo, IA

Registered Nurse with Allen Memorial Hospital Corporation, practicing in Waterloo, Iowa. 54 Medicare patients in 2024, $8,850 paid; nearly all of their 92 Part D prescriptions were generic (96%). Lists Allen Hospital as a hospital affiliation.

Overview

NPI1356010425
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedSep 10, 2021
Last updated in NPPESSep 10, 2021
Certified by providerSep 9, 2021

Specialties and licenses

TaxonomyCodeLicenseState
Registered Nurse Primary163W00000X144542IA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Nurse Practitioner (IA)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients54
Services billed199 across 5 procedure codes
Paid by Medicare$8,850

Part D prescriptions in 2024

Prescriptions (claims)92 · 92 30-day fills
Patients33
Total drug cost$1,955
Generic share96% of claims

Medicare sources and data years

Education and affiliations

Graduation year2021
Medicare specialtyNurse Practitioner

Medical group

Hospital affiliation

Source: CMS Care Compare

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