JED T WIDDISON (CRNA) – Certified Registered Nurse Anesthetist, NPI 1598731598

JED T WIDDISON (CRNA) is a healthcare provider. based in Provo, Utah. specializing in Certified Registered Nurse Anesthetist. They hold the professional credentials CRNA. They hold a License No. 362537-4406 (UT). The NPI Number for JED T WIDDISON (CRNA) is 1598731598

Main info

Male
23 Years Of Experience
Accepts Medicare Assignment
Name
JED T WIDDISON (CRNA)
NPI
1598731598
Phone
(801) 437-4500
Address
320 RIVER PARK DR
Enumeration Date
28 February 2006
Last Update Date
27 August 2009

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8012339300
Graduation Year
2003 (23 years ago)
PAC ID
1850290784
Group Practice PAC ID
5991604829
Professional Enrollment ID
I20040108000656
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for JED T WIDDISON (CRNA)

  • 320, River Park Drive, Riverbottoms, Caryhurst, Provo, Utah County, Utah, 84604, United States

    SUITE 125

    PROVO, UT 846046060

    Phone: (801) 437-4500

    Type: Mailing

  • River Park Drive, Riverbottoms, Caryhurst, Provo, Utah County, Utah, 84604, United States

    PROVO, UT 846046065

    Phone: (801) 437-4500

    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.

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Medicare Enrollment & Revalidation

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

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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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 84604)

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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: 5991604829View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)ID
-UT
Certified Registered Nurse Anesthetist (Crna)UT
A N E S T H E S I O L O G YUT
-UT
-UT
Certified Registered Nurse Anesthetist (Crna)UT
Certified Registered Nurse Anesthetist (Crna)UT
Certified Registered Nurse Anesthetist (Crna)UT
-UT

Reviews

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Frequently asked questions

What NPI should I save for JED T WIDDISON (CRNA)?
Save NPI 1598731598 if you need a stable reference for JED T WIDDISON (CRNA).
Is JED T WIDDISON (CRNA)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is JED T WIDDISON (CRNA)?
The page reflects Certified Registered Nurse Anesthetist for JED T WIDDISON (CRNA). Clinical services aligned with this taxonomy classification.
Where does public data place JED T WIDDISON (CRNA)?
The snapshot lists Provo, Utah for JED T WIDDISON (CRNA); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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