Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Shannon Elizabeth Wiedeman, NP AND RN

Psychiatric/Mental Health Registered Nurse in Enterprise, OR · enumerated 2008.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1255596607

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Registry record

Entity type Individual (Type 1)

Name Shannon Elizabeth Wiedeman

Credential NP AND RN

Sex Female

Practice address 207 Sw 1st St, Enterprise, OR, 97828

Phone (541) 426-0801

Fax (541) 426-0802

Enumeration date Jul 25, 2008

Last updated in NPPES Apr 5, 2016

Taxonomy & licenses

363LA2200X Adult Health Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License 201050225NP (OR) Secondary

163WP0808X Psychiatric/Mental Health Registered Nurse Nursing Service Providers · License 201043506RN (OR) Primary

Other identifiers

Identifier	Type	State	Issuer
500641038	Medicaid	OR	-
O10244476AA	Other	OR	REGENCE BLUE CROSS BLUE SHIELD
383864	Other	OR	MEDICARE RHC

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Is NPI 1255596607 active?

Yes, as of the latest NPPES snapshot, NPI 1255596607 is active (record last updated 2016-04-05).

How do I verify Shannon Wiedeman's NPI record?

Cross-check NPI 1255596607 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-04-05.