NPPES file of Aug 9, 2026

Jennifer Widjaja

Gerontology Nurse Practitioner · Mesa, AZ

Jennifer Widjaja is a gerontology nurse practitioner with a practice address in Mesa, Arizona, and NPI 1942008651, issued on Mar 6, 2025. Check the license (Arizona 317968, as entered in NPPES) with the Arizona board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1942008651
Name
Jennifer Widjaja
Primary taxonomy
Gerontology Nurse Practitioner 363LG0600X
License number
317968 AZ
Self-reported in NPPES; status is on the state search
Practice location
8035 E Brown RD, Mesa, AZ 85207
Phone
(623) 295-1190
Enumerated
Mar 6, 2025
Record last updated
Mar 6, 2025
Medicare enrollment
Enrolled (PECOS I20250331001502); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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8 nearest gerontology nurse practitioner records → All 156 in Arizona → Look up another NPI →

Also registered at 8035 E Brown RD

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Jordan Arenas, OTOccupational Therapist1285522078
  2. Kirsten Cincera, CCC-SLPSpeech-Language Pathologist1144118266
  3. Stephanie Cole, OTOccupational Therapist1083502116
  4. Jacob Duke, DPTPhysical Therapist1639034440
  5. Denell Dykstra, OTOccupational Therapist1700775376
  6. Marisela Flores, DPTPhysical Therapist1124916937

Verify Jennifer Widjaja in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Arizona board licenses this profession
    Search for license 317968    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Arizona license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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Bills Medicare through one group practice

  1. Leading Healthcare PLLCPhoenix, AZ

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Jennifer Widjaja among 156 gerontology nurse practitioner records in Arizona

Jennifer Widjaja is one of 156 gerontology nurse practitioner records with a practice address in Arizona. 74% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2025, is newer than 94% of them.

  • NPI issued2025 · 94% of these records are older, under 1% newer
  • In a Medicare fileYes · 74% of these records are
  • In the CMS Doctors and Clinicians fileYes · 59% of these records are
  • Graduated2023 · median 2019 among the 92 with a school on file
  • Record last updated2025 · 37% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363LG0600X and a Arizona practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Gerontology Nurse Practitioner providers in Arizona

There are 156 gerontology nurse practitioner records in Arizona.

All 156 in Arizona → Every provider in Mesa → Gerontology Nurse Practitioner nationwide →

The 8 gerontology nurse practitioner records with the nearest ZIP codes

  1. Hayley Chamberlain, AGPCNP-BCMesa, AZ 852071811884448
  2. Megan Bruxer, NPMesa, AZ 852061346987336
  3. Shannon Daniels, NPMesa, AZ 852061588464697
  4. Dien Do, NPMesa, AZ 852061609326289
  5. Nancy Fulmore, AGACNP-BCMesa, AZ 852061023666146
  6. Mari Hooper, NPMesa, AZ 852081003688417
  7. Karyanne Nemmers, AGNP-BCMesa, AZ 852061447090287
  8. Linda Treloar, PHD, APRN, BC, NP-CMesa, AZ 852061689682742

Common questions

What is Jennifer Widjaja's NPI number?

Jennifer Widjaja's National Provider Identifier (NPI) is 1942008651, issued on Mar 6, 2025. An NPI identifies a provider in billing; it is not a license.

Where is Jennifer Widjaja located?

The NPPES record lists a practice address at 8035 E Brown RD, Mesa, AZ, 85207. Phone: (623) 295-1190. Providers update this record themselves, so call before visiting.

How can I verify Jennifer Widjaja's license?

NPPES lists Arizona license number 317968, as entered by the provider. Search the Arizona board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Written with AI tools from the named public files; every figure is computed from those files (how it is made).

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.