BOBIE JO WIDDERS (MD) – Family Medicine Physician, NPI 1114556370

BOBIE JO WIDDERS (MD) is a healthcare provider. based in Conway, Arkansas. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. E-16783 (AR). The NPI Number for BOBIE JO WIDDERS (MD) is 1114556370

Main info

Female
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
BOBIE JO WIDDERS (MD)
NPI
1114556370
Phone
(501) 329-3824
Address
2425 DAVE WARD DR STE 401
Enumeration Date
8 April 2020
Last Update Date
23 April 2024

Doctor Profile

Medical School Name
UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Secondary Phone
5013293824
Graduation Year
2020 (6 years ago)
PAC ID
0143641555
Group Practice PAC ID
5698725745
Professional Enrollment ID
I20240820001400
Address ID
AR720348681CO2425XDRXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:6State licenses:1Digital endpointsOther names

1,499 FAMILY PRACTICE in AR

Provider Addresses for BOBIE JO WIDDERS (MD)

  • 2425 DAVE WARD DR STE 401

    CONWAY, AR 720348681

    Phone: (501) 329-3824

    Fax: (501) 327-2957

    Type: Mailing

  • 3201 Springhill Dr Ste 300

    North Little Rock, AR 721172909

    Phone: (501) 753-4132

    Type: Location

  • 3201 SPRINGHILL DR STE 300

    NORTH LITTLE ROCK, AR 721172909

    Phone: (870) 710-0955

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 180 Open Payments records for all available years, with a total value of $3,065.

Total Amount is formed as General ($3,065) + Research ($0) + Ownership ($0) = $3,065.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($457).

Total Amount

$3,065

General + Research + Ownership

Payments

180

Total payment records

General Amount

$3,065

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-08-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240820001400IFamily PracticeARTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 72034)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5698725745View full group profile
NameSpecialtyState
Family PracticeAR
Family PracticeAR
-AR
Family PracticeAR
-AR
Family PracticeAR
-AR
Family PracticeAR
Family PracticeAR

Reviews

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Frequently asked questions

What identifier follows BOBIE JO WIDDERS (MD) across health systems?
The NPI 1114556370 uniquely identifies BOBIE JO WIDDERS (MD) in U.S. healthcare data.
Does the public listing show BOBIE JO WIDDERS (MD) as active?
BOBIE JO WIDDERS (MD)'s NPI record reflects an active status in NPPES.
How should patients interpret BOBIE JO WIDDERS (MD)'s specialty?
The extract shows Family Medicine Physician for BOBIE JO WIDDERS (MD). Clinical services aligned with this taxonomy classification.
Can patients visit BOBIE JO WIDDERS (MD) in Conway, Arkansas?
For routing, start with Conway, Arkansas for BOBIE JO WIDDERS (MD), then verify phone and hours locally.
Who maintains BOBIE JO WIDDERS (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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