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

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