ANDREA SHEA WITHAM FNP-C, PMHNP-BC
NPI 1275982324
Nurse Practitioner - Psychiatric/Mental Health in Roseburg, OR

Q: What is Andrea Witham's NPI number?

The NPI number for Andrea Witham is 1275982324. It was assigned to this individual provider in the NPPES registry on June 9, 2016.

Q: What is Andrea Witham's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: Is Andrea Witham enrolled in Medicare?

No. Andrea Witham has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Andrea Witham was last updated on June 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since June 09, 2016Opted out of Medicare · through Apr 1, 2028

753 SE MAIN ST STE 205, ROSEBURG, OR 97470(503) 455-7656(503) 457-0645 Get Directions Write a Review

NPPES record last updated: June 25, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 25, 2024, Sep 19, 2022, Feb 21, 2022 and 1 more (4 updates tracked since 2019).

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About Andrea Shea Witham Fnp-c, Pmhnp-bc NPPES

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

ANDREA SHEA WITHAM FNP-C, PMHNP-BC (NPI 1275982324) is an individual psychiatric/mental health provider in Roseburg, Oregon, licensed in Oregon (202201834NP) and active in the NPI registry since June 2016. She has opted out of Medicare through April 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1275982324

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameANDREA SHEA WITHAMCredential: FNP-C, PMHNP-BC

Location Address753 SE MAIN ST STE 205Roseburg, OR 97470-3985

Mailing Address753 Se Main St Ste 205Roseburg, OR 97470-3985 · (503) 455-7656 · Fax (503) 457-0645

Phone(503) 455-7656

Fax(503) 457-0645

Sole ProprietorYes

Enumeration DateJune 9, 2016

Last NPPES UpdateJune 25, 20244 updates tracked since enumeration

NPPES CertifiedJune 25, 2024

✔ NPI 1275982324 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

Licenses✔ Licensed in OR · 202201834NP✔ Licensed in OR · 202201834NP-PP

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License AP9762 (AZ)

753 SE MAIN ST STE 205, Roseburg, OR 97470

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Andrea Shea Witham Fnp-c, Pmhnp-bc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2026 through April 1, 2028.

Opt-Out Effective DateApril 1, 2026

Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97470 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.82 typical visit price

range $54.96 – $166.64

Typical copayment $21.20 (range $13.74 – $41.66)

Most-billed visit code 99203

Established Patient

$97.16 typical visit price

range $17.68 – $136.19

Typical copayment $24.29 (range $4.42 – $34.04)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

2 suppliers11 claims38 services$3.00 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

1 supplier11 claims12 services$47.69 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

FLOSS MENTAL HEALTH, LLC

Nurse Practitioner (Psychiatric/Mental Health)

753 SE MAIN ST STE 205
ROSEBURG, OR 97470

Douglas County (503) 455-7656

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 Andrea Witham's NPI number?

The NPI number for Andrea Witham is 1275982324. It was assigned to this individual provider in the NPPES registry on June 9, 2016.

Where is Andrea Witham located?

Andrea Witham practices at 753 SE Main St Ste 205, Roseburg, OR 97470. The listed phone number is (503) 455-7656.

What is Andrea Witham's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Andrea Witham enrolled in Medicare?

No. Andrea Witham has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Andrea Witham accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Andrea Witham as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Andrea Witham was last updated on June 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.