DANA WICKERSHEIM NP
NPI 1780065862
Nurse Practitioner - Gerontology in Woodbury, MN

Q: What is Dana Wickersheim's NPI number?

The NPI number for Dana Wickersheim is 1780065862. It was assigned to this individual provider in the NPPES registry on June 15, 2015.

Q: What is Dana Wickersheim's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Q: When was this NPI record last updated?

The NPPES record for Dana Wickersheim was last updated on March 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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 15, 2015PECOS Enrolled

683 BIELENBERG DR STE 103, WOODBURY, MN 55125(952) 841-2346 Get Directions Write a Review

NPPES record last updated: March 4, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dana Wickersheim Np NPPES

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

DANA WICKERSHEIM NP (NPI 1780065862) is an individual gerontology provider in Woodbury, Minnesota, licensed in Minnesota (12112) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780065862

Entity TypeIndividualFemale

Primary Taxonomy363LG0600X

Provider Legal NameDANA WICKERSHEIMCredential: NP

Location Address683 BIELENBERG DR STE 103Woodbury, MN 55125-1711

Mailing Address683 Bielenberg Dr Ste 103Woodbury, MN 55125-1711 · (952) 841-2346

Phone(952) 841-2346

Sole ProprietorNo

Enumeration DateJune 15, 2015

Last NPPES UpdateMarch 4, 2025

NPPES CertifiedMarch 4, 2025

✔ NPI 1780065862 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

License✔ Licensed in MN · 12112

Also ListedRegistered NurseTaxonomy 163W00000X · License R2095660 (MN)

683 BIELENBERG DR STE 103, Woodbury, MN 55125

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dana Wickersheim Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55125 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

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

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.

Other Providers at the Same Location NPPES 6

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

DR. ANNE KOKAYEFF M.D.

Psychiatry & Neurology (Pain Medicine)