Jennifer Widjaja
NPI 1942008651 · Gerontology Nurse Practitioner · Mesa, AZ
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jennifer Widjaja is a Gerontology Nurse Practitioner provider in Mesa, AZ (NPI 1942008651).
Provider details
- NPI number
- 1942008651
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 317968 (AZ)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-03-06
- Last updated
- 2025-03-06
- Certified
- 2025-03-06
Frequently asked questions
- What is Jennifer Widjaja's NPI number?
- Jennifer Widjaja's National Provider Identifier (NPI) is 1942008651, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jennifer Widjaja's specialty?
- Jennifer Widjaja is listed in the NPPES registry with a primary specialty of Gerontology Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Jennifer Widjaja located?
- Jennifer Widjaja's practice location on file with NPPES is 8035 E Brown Rd, Mesa, AZ 85207-3901.
- What is Jennifer Widjaja's phone number?
- The practice phone number listed in the NPPES registry for Jennifer Widjaja is (623) 295-1190.
- Does Jennifer Widjaja accept Medicare?
- Jennifer Widjaja is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jennifer Widjaja's NPI active?
- Yes — Jennifer Widjaja's NPI (1942008651) is active in the NPPES registry as of the last update on 2025-03-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.