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

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: October 18, 2026.

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

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

Andrew J Will MD PA
Same address
Pain
683 BIELENBERG DR STE 103
Woodbury, MN 55125
  • Reassigned Medicare billing, Minnesota enrollment
  • 35 clinicians in this Medicare group
NPI 1699199737 (952) 841-2345

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

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)
683 BIELENBERG DR STE 103
WOODBURY, MN 55125
Washington County (952) 841-2345
DR. ROSS DAVID CRAIN D.C.
Chiropractor
683 BIELENBERG DR STE 103
WOODBURY, MN 55125
Washington County (651) 731-0505
KJERSTIN G DURIE PA-C
Physician Assistant
683 BIELENBERG DR STE 103
WOODBURY, MN 55125
Washington County (952) 841-2345
ANDREW J WILL MD PA
Clinic/Center (Pain)
683 BIELENBERG DR STE 103
WOODBURY, MN 55125
Washington County (952) 841-2345
ABIGAIL MARIE HENDERSON NP
Nurse Practitioner (Family)
683 BIELENBERG DR STE 103
WOODBURY, MN 55125
Washington County (952) 841-2345
DR. ERIN VILLELLA DNP
Nurse Practitioner
683 BIELENBERG DR STE 103
WOODBURY, MN 55125
Washington County (952) 841-2345

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 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.

Where is Dana Wickersheim located?

Dana Wickersheim practices at 683 Bielenberg Dr Ste 103, Woodbury, MN 55125. The listed phone number is (952) 841-2346.

What is Dana Wickersheim's specialty?

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

Is Dana Wickersheim enrolled in Medicare?

Yes. Dana Wickersheim is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Dana Wickersheim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dana Wickersheim reassigns Medicare benefits to Andrew J Will MD PA (Woodbury, MN). 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 Dana Wickersheim'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 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 19 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.