Shannon Wiedeman, NP AND RN
Shannon Wiedeman, NP AND RN is a Psychiatric/Mental Health Registered Nurse in Enterprise, OR, registered under NPI 1255596607. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.
Getting there
The practice address on file is 207 SW 1ST ST, Enterprise, OR 97828. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 201043506RN | OR | Psychiatric/Mental Health Registered Nurse primary |
| 201050225NP | OR | Adult Health Nurse Practitioner |
This provider holds licence 201043506RN issued in OR. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.
What Psychiatric/Mental Health covers
Definition to come... NUCC Health Care Provider Taxonomy, code 163WP0808X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 163WP0808X | Psychiatric/Mental Health Registered Nurse Psychiatric/Mental Health | 201043506RN | OR | primary |
| 363LA2200X | Adult Health Nurse Practitioner Adult Health | 201050225NP | OR |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1255596607 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Jul 25, 2008 |
| Last updated | Apr 5, 2016 |
| Status | Active |
| Sole proprietor | No |
| Credential | NP AND RN |
| Practice address |
207 SW 1ST ST Enterprise, OR 97828 (541) 426-0801 Fax (541) 426-0802 |
| Other identifiers |
500641038
(OR) O10244476AA · REGENCE BLUE CROSS BLUE SHIELD (OR) 383864 · MEDICARE RHC (OR) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 2 | 5 | 5 | 5 | 9 | 6 | 6 | 0 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 2 | 1 | 5 | 1 | 9 | 3 | 6 | 0 |
Sum = 53 · next multiple of 10 = 60 · check digit = 7 · actual last digit = 7
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.