KARA A WIDHALM (PA-C) – Physician Assistant, NPI 1740945757

KARA A WIDHALM (PA-C) is a healthcare provider. based in Elkhorn, Nebraska. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 2681 (NE). The NPI Number for KARA A WIDHALM (PA-C) is 1740945757

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
KARA A WIDHALM (PA-C)
NPI
1740945757
Phone
(402) 390-4111
Address
222 N 192nd St
Enumeration Date
4 November 2021
Last Update Date
15 December 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6052175610
Graduation Year
2021 (5 years ago)
PAC ID
1254710023
Group Practice PAC ID
7113330663
Professional Enrollment ID
I20220624001328
Address ID
NE680474507PE100XXDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:4State licenses:2Digital endpointsOther names

1,396 PHYSICIAN ASSISTANT in NE

Provider Addresses for KARA A WIDHALM (PA-C)

  • 222 N 192nd St

    Elkhorn, NE 680225363

    Phone: (402) 390-4111

    Fax: (402) 390-4115

    Type: Location

  • 800 MERCY DR

    COUNCIL BLUFFS, IA 515033128

    Phone: (712) 328-5230

    Type: Mailing

  • PO BOX 24607

    OMAHA, NE 681240607

    Phone: (402) 955-5400

    Fax: (402) 955-3674

    Type: Mailing

  • 8200 DODGE ST

    OMAHA, NE 681144113

    Phone: (402) 955-7400

    Fax: (402) 955-7405

    Type: Location

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: 2022-07-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20220624001328IPhysician AssistantNETBD
I20220728002121IPhysician AssistantIATBD

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
99285Emergency department visit with high level of medical decision making6969$0
99284Emergency department visit with moderate level of medical decision making6260$0
99283Emergency department visit with low level of medical decision making3836$0
99282Emergency department visit with straightforward medical decision making1515$0
View full utilization report →

Insurance plans in this area (ZIP 68022)

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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: 7113330663View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology), Cardiovascular Disease (Cardiology), Interventional CardiologyMO
Vascular SurgeryNE
Vascular Surgery, General SurgeryNE
Physician AssistantSD
Vascular SurgeryMO
Nurse PractitionerMO
Nurse PractitionerMO
Vascular SurgeryKS
Nurse PractitionerSD
Nurse PractitionerNE

Reviews

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Frequently asked questions

What is the standard ID for KARA A WIDHALM (PA-C) in the U.S.?
In the U.S., KARA A WIDHALM (PA-C) is identified by NPI 1740945757.
Does the public listing show KARA A WIDHALM (PA-C) as active?
KARA A WIDHALM (PA-C)'s NPI record reflects an active status in NPPES.
What services align with KARA A WIDHALM (PA-C)'s listing?
KARA A WIDHALM (PA-C)'s public classification highlights Physician Assistant. Clinical services aligned with this taxonomy classification.
Is KARA A WIDHALM (PA-C) tied to Elkhorn, Nebraska?
If you are local to Elkhorn, Nebraska, KARA A WIDHALM (PA-C) may be relevant to your search.
Can I export KARA A WIDHALM (PA-C)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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