Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kelsey Jean Widgeon

Individual provider Registered Nurse · NPI 1356010425

Kelsey Jean Widgeon is a Nurse Practitioner in Waterloo, Iowa. Qualified in 2021, 5 years ago. Practices with Allen Memorial Hospital Corporation, a 149-clinician group. Licensed in Iowa.

Years since qualifying
5
Licensed in
IA
In the registry since
2021

Practice location Address checks out

1825 Logan Ave
Waterloo, IA 50703-1916
Phone: (319) 235-3607
Fax: (319) 235-3958
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 144542 (IA)

Record details

NPI number1356010425
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 10, 2021
Last updated in NPPESSeptember 10, 2021
Certification dateSeptember 9, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Allen Memorial Hospital Corporation — 149 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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