TAYLOR WIDDISON – Family Nurse Practitioner, NPI 1689451478

TAYLOR WIDDISON is a healthcare provider. based in Smithfield, Utah. specializing in NURSE PRACTITIONER. They hold a License No. 10371161-3102 (UT). The NPI Number for TAYLOR WIDDISON is 1689451478

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
TAYLOR WIDDISON
NPI
1689451478
Phone
(801) 644-2504
Address
327 W 200 S
Enumeration Date
13 September 2023
Last Update Date
8 December 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4357161860
Graduation Year
2023 (3 years ago)
PAC ID
7315397395
Group Practice PAC ID
1850209420
Professional Enrollment ID
I20240103002611
Address ID
UT843412407ST550XX1400300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:2State licenses:2Digital endpointsOther names

2,655 NURSE PRACTITIONER in UT

Provider Addresses for TAYLOR WIDDISON

  • 327 W 200 S

    SMITHFIELD, UT 843352111

    Phone: (801) 644-2504

    Type: Mailing

  • 550 E 1400 N STE S

    LOGAN, UT 843412407

    Phone: (435) 716-1860

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 25 Open Payments records for all available years, with a total value of $753.

Total Amount is formed as General ($753) + Research ($0) + Ownership ($0) = $753.

Last reported payment date: 2024-11-13 • Largest payer in this snapshot: Inspire Medical Systems, Inc. ($534).

Total Amount

$753

General + Research + Ownership

Payments

25

Total payment records

General Amount

$753

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-13

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2024-01-03

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
I20240103002611INurse PractitionerUTTBD

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 84335)

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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: 1850209420View full group profile

Reviews

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Frequently asked questions

What is the registry number for TAYLOR WIDDISON?
The registry entry for TAYLOR WIDDISON shows NPI 1689451478.
Should I treat TAYLOR WIDDISON as an active provider?
Patients and plans typically see TAYLOR WIDDISON as active in the national extract.
What type of care does TAYLOR WIDDISON provide?
TAYLOR WIDDISON's profile centers on Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What geographic area is tied to TAYLOR WIDDISON?
TAYLOR WIDDISON is associated with Smithfield, Utah in the same public data insurers reference.
Who maintains TAYLOR WIDDISON's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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