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HEIDI MICHELLE SHERIDAN AU
NPI 1215060017
Audiologist in Salem, OR

Active since March 13, 2007
1160 WALLACE RD NW, SALEM, OR 97304(503) 331-3060 Get Directions Write a Review

NPPES record last updated: December 20, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Heidi Michelle Sheridan Au NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HEIDI MICHELLE SHERIDAN AU (NPI 1215060017) is an individual audiologist in Salem, Oregon, licensed in Oregon (30791) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1215060017
Entity TypeIndividualFemale
Primary Taxonomy231H00000X
Provider Legal NameHEIDI MICHELLE SHERIDANCredential: AU
Location Address1160 WALLACE RD NWSalem, OR 97304-3116
Mailing Address1160 Wallace Rd Nw Ste 150Salem, OR 97304-3116 · (503) 331-3060
Phone(503) 331-3060
Sole ProprietorNo
Enumeration DateMarch 13, 2007
Last NPPES UpdateDecember 20, 2021
NPPES CertifiedDecember 20, 2021
✔ NPI 1215060017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAudiologistSpeech, Language and Hearing Service Providers
Taxonomy Code231H00000X
Licenses✔ Licensed in OR · 30791✔ Licensed in WA · 61094500
Definition
(1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master's degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy.
1160 WALLACE RD NW, Salem, OR 97304
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Other Names 1

Former Name (1)Heidi Michelle Brown Au.d

Other Identifiers 1

Medicaid500668711OR

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Heidi Michelle Sheridan Au is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Heidi Sheridan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

South Salem Rehabilitation, LLC
5.5 mi
Skilled Nursing Facility
3445 BOONE RD SE
Salem, OR 97317
  • Reassigned Medicare billing, Oregon and Washington enrollments
  • Medicare enrollment name: Kaiser Foundation Health Plan Of The Northwest
  • Also billed through NPI 1871848457 (Washington)
  • 3,207 clinicians in this Medicare group
NPI 1215071998 (503) 576-3000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. BETHANY WOHLETZ M.D.
Family Medicine
1160 WALLACE RD NW
SALEM, OR 97304
Polk County (503) 304-5716
DR. MARK WARREN OLSON M.D.
Family Medicine
1160 WALLACE RD NW
SALEM, OR 97304
Polk County (503) 361-5400
SILVIA OCHOA-SOSA
Physician Assistant
1160 WALLACE RD NW
SALEM, OR 97304
Polk County (503) 813-3810
DR. TATIANA O ANDERSON PHARM.D.
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1160 WALLACE RD NW
SALEM, OR 97304
Polk County (503) 315-4001
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
General Practice
1160 WALLACE RD NW
SALEM, OR 97304
Polk County (800) 813-2000
DR. DANIEL MAX OAKEY DO
Family Medicine
1160 WALLACE RD NW
SALEM, OR 97304
Polk County (800) 813-2000
ADRIENNE MEE NP-C
Nurse Practitioner (Family)
1160 WALLACE RD NW
SALEM, OR 97304
Polk County (800) 813-2000
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
Clinic/Center
1160 WALLACE RD NW
SALEM, OR 97304
Polk County (503) 361-5400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Heidi Sheridan's NPI number?

The NPI number for Heidi Sheridan is 1215060017. It was assigned to this individual provider in the NPPES registry on March 13, 2007. The provider is also known as Heidi Michelle Brown Au.D.

Where is Heidi Sheridan located?

Heidi Sheridan practices at 1160 Wallace Rd NW, Salem, OR 97304. The listed phone number is (503) 331-3060.

What is Heidi Sheridan's specialty?

The primary specialty registered for this NPI is Audiologist with taxonomy code 231H00000X.

Is Heidi Sheridan enrolled in Medicare?

Yes. Heidi Sheridan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Heidi Sheridan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Heidi Sheridan reassigns Medicare benefits to South Salem Rehabilitation, LLC (Salem, OR). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Heidi Sheridan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Heidi Sheridan was last updated on December 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.