Shannon Elizabeth Wiedeman, NP AND RN - Registered Nurse in Enterprise, OR

Shannon Elizabeth Wiedeman, NP AND RN is a Registered Nurse - Psychiatric/mental Health based in Enterprise, Oregon. Shannon Elizabeth Wiedeman is licensed to practice in Oregon (license number 201043506RN) and her current practice location is 207 Sw 1st St, Enterprise, Oregon. She can be reached at her office (for appointments etc.) via phone at (541) 426-0801.

NPI number for Shannon Elizabeth Wiedeman is 1255596607 and her current mailing address is 207 Sw 1st St, Enterprise, Oregon. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1255596607.

Contact Information

Shannon Elizabeth Wiedeman, NP AND RN
207 Sw 1st St,
Enterprise, OR 97828-1203
(541) 426-0801
(541) 426-0802

Map and Direction




Provider's Profile

Full NameShannon Elizabeth Wiedeman
GenderFemale
SpecialityRegistered Nurse - Psychiatric/mental Health
Location207 Sw 1st St, Enterprise, Oregon
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1255596607
  • Provider Enumeration Date: 07/25/2008
  • Last Update Date: 04/05/2016

Medical Identifiers

Medical identifiers for Shannon Elizabeth Wiedeman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255596607NPI-NPPES
500641038MedicaidOR
O10244476AAOtherORREGENCE BLUE CROSS BLUE SHIELD
383864OtherORMEDICARE RHC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2200XNurse Practitioner - Adult Health 201050225NP (Oregon)Secondary
163WP0808XRegistered Nurse - Psychiatric/mental Health 201043506RN (Oregon)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shannon Elizabeth Wiedeman is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Shannon Elizabeth Wiedeman, NP AND RN
207 Sw 1st St,
Enterprise, OR 97828-1203

Ph: (541) 426-4524
Shannon Elizabeth Wiedeman, NP AND RN
207 Sw 1st St,
Enterprise, OR 97828-1203

Ph: (541) 426-0801

Reviews and Comments


Registered Nurse Nurses in Enterprise, OR

Ms. Anna Mapes, RN, BSN
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 207 Sw 1st St, Enterprise, OR 97828
Phone: 541-246-0801    
Michael Mcdonald, DNP, FNP-BC, BSN, RN
Registered Nurse
Medicare: Accepting Medicare Assignments
Practice Location: 306 W North St, Enterprise, OR 97828
Phone: 541-426-7171    
Kelly Louise Bigsby, RN
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 606 Medical Pkwy, Enterprise, OR 97828
Phone: 541-426-4524    
Carolyn Jean Dawson, RNC
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 207 Sw 1st St, Enterprise, OR 97828
Phone: 541-426-4524    Fax: 541-426-3035
Jessica Barker, RN
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 606 Medical Pkwy, Enterprise, OR 97828
Phone: 541-805-0861    
Michelle Coppin, RN
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 606 Medical Pkwy, Enterprise, OR 97828
Phone: 541-426-4524    
Ms. Margaret J Rystrom, RN, CNL
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 66258 Lewiston Hwy, Enterprise, OR 97828
Phone: 541-398-2622    

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