MS. AMY K WIDELL (CRNA) – Certified Registered Nurse Anesthetist, NPI 1790790129

MS. AMY K WIDELL (CRNA) is a healthcare provider. based in Red wing, Minnesota. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. R 147159-9 (MN). The NPI Number for MS. AMY K WIDELL (CRNA) is 1790790129

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
MS. AMY K WIDELL (CRNA)
NPI
1790790129
Phone
(612) 467-4698
Address
701 FAIRVIEW BLVD
Enumeration Date
31 July 2006
Last Update Date
27 January 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5073732384
Graduation Year
2005 (21 years ago)
PAC ID
0345307344
Group Practice PAC ID
4385556703
Professional Enrollment ID
I20090318000487
Address ID
MN560072437AL404XXSTXX400

Contacts

Secure Messaging
awidell88641@ehrdirect.mayoclinicmsg.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

2,131 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in MN

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Provider Addresses for MS. AMY K WIDELL (CRNA)

  • Red Wing, East Fairview Lane, Gilbert, Maricopa County, Arizona, 85295, United States

    RED WING, MN 550662848

    Phone: (612) 467-4698

    Type: Location

  • 2500, Westcliffe Drive, Burnsville, Dakota County, Minnesota, 55306, United States

    BURNSVILLE, MN 553066905

    Phone: (952) 898-5179

    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: 2009-03-18

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
I20090318000487ICertified Registered Nurse Anesthetist (Crna)MNTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00811Anesthesia for other procedure on large bowel using an endoscope1919$0
View full utilization report →

Insurance plans in this area (ZIP 55066)

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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: 4385556703View full group profile

Reviews

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Frequently asked questions

What federal number belongs to MS. AMY K WIDELL (CRNA)?
The federal identifier for MS. AMY K WIDELL (CRNA) is NPI 1790790129.
Is MS. AMY K WIDELL (CRNA) active in the national directory?
MS. AMY K WIDELL (CRNA)'s public NPI profile is in an active state.
Can you summarize MS. AMY K WIDELL (CRNA)'s specialty in plain language?
Clinically, the directory lists MS. AMY K WIDELL (CRNA) with Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Does MS. AMY K WIDELL (CRNA) practice in Minnesota?
You will see Red Wing, Minnesota on file for MS. AMY K WIDELL (CRNA) alongside any extra practice locations.
What if Red Wing, Minnesota seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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