AMBER LIEVENS WIDENSKI (D.O.) – Emergency Medicine Physician, NPI 1417255902

AMBER LIEVENS WIDENSKI (D.O.) is a healthcare provider. based in Hartford, Wisconsin. specializing in EMERGENCY MEDICINE. They hold the professional credentials D.O.. They hold a License No. 63792-21 (WI). The NPI Number for AMBER LIEVENS WIDENSKI (D.O.) is 1417255902

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
AMBER LIEVENS WIDENSKI (D.O.)
NPI
1417255902
Phone
(262) 670-7201
Address
1032 E SUMNER ST
Enumeration Date
7 March 2011
Last Update Date
4 December 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9209134400
Graduation Year
2011 (15 years ago)
PAC ID
1951535558
Group Practice PAC ID
2163319039
Professional Enrollment ID
I20150610002099
Address ID
WI549352089FO755XXSTXX400

Contacts

Secure Messaging
awidenski181511@aurora.direct-ci.com
FHIR Endpoint
https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness85
Years active:15State licenses:1Other namesUpdated within 12 months

1,309 EMERGENCY MEDICINE in WI

Provider Addresses for AMBER LIEVENS WIDENSKI (D.O.)

  • 1032 E SUMNER ST

    HARTFORD, WI 530271608

    Phone: (262) 670-7201

    Fax: (262) 670-7621

    Type: Mailing

  • 1032 E Sumner St

    Hartford, WI 530271608

    Phone: (262) 670-7201

    Fax: (262) 670-7621

    Type: Location

  • 3 NEENAH CTR

    NEENAH, WI 549563070

    Phone: (920) 531-2030

    Type: Mailing

  • 1405 MILL ST

    NEW LONDON, WI 549612155

    Phone: (920) 531-2030

    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: 2015-06-10

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
I20150610002099IEmergency MedicineWITBD

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 making6359$0
99284Emergency department visit with moderate level of medical decision making5757$0
99283Emergency department visit with low level of medical decision making2424$0
99282Emergency department visit with straightforward medical decision making1111$0
View full utilization report →

Insurance plans in this area (ZIP 53027)

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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: 2163319039View full group profile
NameSpecialtyState
Emergency MedicineIL
Emergency MedicineWI
Emergency MedicineWI
Emergency MedicineWI
Emergency MedicineWI
Emergency MedicineWI
Emergency MedicineWI
Emergency MedicineWI

Reviews

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Frequently asked questions

Where can patients find AMBER LIEVENS WIDENSKI (D.O.)'s NPI?
You can confirm AMBER LIEVENS WIDENSKI (D.O.) with NPI 1417255902; it appears in the national provider directory.
Is AMBER LIEVENS WIDENSKI (D.O.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is AMBER LIEVENS WIDENSKI (D.O.)?
The page reflects Emergency Medicine Physician for AMBER LIEVENS WIDENSKI (D.O.). Clinical services aligned with this taxonomy classification.
Where does public data place AMBER LIEVENS WIDENSKI (D.O.)?
The snapshot lists Hartford, Wisconsin for AMBER LIEVENS WIDENSKI (D.O.); download NPPES for the complete set.
What if Hartford, Wisconsin seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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