MISS EMILY LYNN WIDELOCK (PA-C) – Physician Assistant, NPI 1134769151
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MISS EMILY LYNN WIDELOCK (PA-C)
228 HILLSIDE RD
OAK RIDGE, TN 378305044
Phone: (615) 519-5213
Type: Mailing
115 S ILLINOIS AVE
OAK RIDGE, TN 378306202
Phone: (615) 519-5213
Type: Location
3443 DICKERSON PIKE STE 190
NASHVILLE, TN 372072533
Phone: (615) 860-1580
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $150.
Total Amount is formed as General ($150) + Research ($0) + Ownership ($0) = $150.
Last reported payment date: 2024-10-08 • Largest payer in this snapshot: Solventum Corporation ($150).
Total Amount
$150
General + Research + Ownership
Payments
1
Total payment records
General Amount
$150
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-08
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Solventum Corporation | $150 |
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: 2020-03-16
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200316002358 | I | Physician Assistant | TN | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99284 | Emergency department visit with moderate level of medical decision making | 41 | 41 | $0 |
| 99285 | Emergency department visit with high level of medical decision making | 17 | 17 | $0 |
Insurance plans in this area (ZIP 37830)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | TN | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | AR | |
| Physician Assistant | TN | |
| - | OH | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | AR | |
| Nurse Practitioner | TN |
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