SHANE WEIDEMAN
NPI 1336697366
Counselor - Mental Health in Emmett, ID

Active since September 19, 2016PECOS EnrolledAccepts Medicare Assignment
2007 E QUAIL RUN RD, EMMETT, ID 83617(208) 365-5445 Get Directions Write a Review

NPPES record last updated: September 19, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shane Weideman NPPES

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

SHANE WEIDEMAN (NPI 1336697366) is an individual mental health provider in Emmett, Idaho, licensed in Idaho (LPC-6270) and active in the NPI registry since September 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1336697366
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameSHANE WEIDEMAN
Location Address2007 E QUAIL RUN RDEmmett, ID 83617-5059
Mailing Address2305 Valley View DrWeiser, ID 83672-1245 · (208) 540-0226
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateSeptember 19, 2016
NPI 1336697366 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in ID · LPC-6270
2007 E QUAIL RUN RD, Emmett, ID 83617

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Shane Weideman is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3678925880
PECOS Enrollment IDI20240123002888
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 4

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

Social Worker (Clinical)
2007 E QUAIL RUN RD, SUITE 1
EMMETT, ID 83617
Community/Behavioral Health
2007 E QUAIL RUN RD, STE 1
EMMETT, ID 83617
Social Worker (Clinical)
2007 E QUAIL RUN RD, SUITE #1
EMMETT, ID 83617
Community/Behavioral Health
2007 E QUAIL RUN RD, SUITE 1
EMMETT, ID 83617

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 Shane Weideman's NPI number?

The NPI number for Shane Weideman is 1336697366. It was assigned to this individual provider in the NPPES registry on September 19, 2016.

Where is Shane Weideman located?

Shane Weideman practices at 2007 E Quail Run Rd, Emmett, ID 83617. The listed phone number is (208) 365-5445.

What is Shane Weideman's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Shane Weideman enrolled in Medicare?

Yes. Shane Weideman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Shane Weideman accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Select Health list Shane Weideman 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 Shane Weideman was last updated on September 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.