TRICIA LYNN WIDLUND (A.R.N.P.) – Family Nurse Practitioner, NPI 1790087013

TRICIA LYNN WIDLUND (A.R.N.P.) is a healthcare provider. based in Des moines, Iowa. specializing in NURSE PRACTITIONER. They hold the professional credentials A.R.N.P.. They hold a License No. A093647 (IA). The NPI Number for TRICIA LYNN WIDLUND (A.R.N.P.) is 1790087013

Main info

Female
16 Years Of Experience
Name
TRICIA LYNN WIDLUND (A.R.N.P.)
NPI
1790087013
Phone
(515) 955-9200
Address
PO BOX 1475
Enumeration Date
18 November 2010
Last Update Date
22 March 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5159559200
Graduation Year
2010 (16 years ago)
PAC ID
7618156522
Group Practice PAC ID
1254241565
Professional Enrollment ID
I20110125000422
Address ID
IA505013602FO2419XNXXX400

Contacts

Secure Messaging
twidl@vdmc.cernerdirect.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness85
Years active:15State licenses:1Other namesUpdated within 12 months

3,529 NURSE PRACTITIONER in IA

Provider Addresses for TRICIA LYNN WIDLUND (A.R.N.P.)

  • PO BOX 1475

    DES MOINES, IA 503051475

    Phone: (515) 955-9200

    Fax: (515) 955-9201

    Type: Mailing

  • 119 AVENUE O W

    FORT DODGE, IA 505015634

    Phone: (515) 955-9200

    Fax: (515) 955-9201

    Type: Location

  • PO BOX 430

    WEBSTER CITY, IA 505950430

    Phone: (515) 955-9200

    Fax: (515) 955-9201

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2011-01-25

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
I20110125000422INurse PractitionerIATBD

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 50305)

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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: 1254241565View full group profile
NameSpecialtyState
Family PracticeIA
Nurse PractitionerIA
Family PracticeIA
Family PracticeIA
Orthopedic SurgeryIA
Nurse PractitionerIA
Nurse PractitionerIA
-WI
Family PracticeIA
Family PracticeIA

Reviews

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Frequently asked questions

Can I cross-check TRICIA LYNN WIDLUND (A.R.N.P.) using NPI 1790087013?
NPI 1790087013 belongs to TRICIA LYNN WIDLUND (A.R.N.P.); compare other details if you need extra assurance.
Active or inactive — what applies to TRICIA LYNN WIDLUND (A.R.N.P.)?
You should see TRICIA LYNN WIDLUND (A.R.N.P.) as active in CMS-hosted NPPES data.
What kind of doctor is TRICIA LYNN WIDLUND (A.R.N.P.)?
TRICIA LYNN WIDLUND (A.R.N.P.) is associated with Family Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
Where in Iowa is TRICIA LYNN WIDLUND (A.R.N.P.) registered?
Use Des Moines, Iowa as the headline location for TRICIA LYNN WIDLUND (A.R.N.P.) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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