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

Mary Widener

Individual provider Physician Assistant · NPI 1508164856

Mary Widener is a Physician Assistant in Gillette, Wyoming. Qualified in 2010, 16 years ago. Practices with Big Horn Health Network, a 82-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California and Wyoming.

Years since qualifying
16
Licensed in
CA, WY
In the registry since
2011
Specialties on file
2

Practice location Address checks out

407 S Medical Arts Ct Ste F
Gillette, WY 82716-3372
Phone: (307) 688-9255
Show map & directions

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

Additional practice locations (1)

  • 1401 W 5th St, Sheridan, WY 82801-2705 — (307) 672-1100

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 511 (WY)
Physician Assistant Taxonomy 363A00000X · Licence PA53799 (CA)

Record details

NPI number1508164856
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 10, 2011
Last updated in NPPESMay 24, 2021
Certification dateMay 24, 2021
Mailing address407 S Medical Arts Ct Ste F, Gillette, WY 82716-3372

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Big Horn Health Network — 82 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Gillette