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

NPI Status: Active since June 15, 2015

Contact Information

683 BIELENBERG DR STE 103
WOODBURY, MN
ZIP 55125
Phone: (952) 841-2346

NPI Profile Information
Primary Taxonomy
Secondary Taxonomies
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Female
Nurse Practitioner
Gerontology

About DANA WICKERSHEIM

This page provides the complete NPI Profile along with additional information for Dana Wickersheim, a provider established in Woodbury, Minnesota with a medical specialization in Nurse Practitioner, focusing in gerontology . The healthcare provider is registered in the NPI registry with number 1780065862 assigned on June 2015. The practitioner's primary taxonomy code is 363LG0600X with license number 12112 (MN). The provider is registered as an individual and her NPI record was last updated March 2025.

NPI: 1780065862
Provider Name: DANA WICKERSHEIM NP
Gender: Female
Entity Type: Individual
Location Address: 683 BIELENBERG DR STE 103 WOODBURY, MN 55125
Location Phone: (952) 841-2346
Mailing Address: 683 BIELENBERG DR STE 103 WOODBURY, MN 55125
Mailing Phone: (952) 841-2346
Is Sole Proprietor?: No
Enumeration Date: 06-15-2015
Last Update Date: 03-04-2025
Code Navigator

A nurse practitioner (NP) like Dana Wickersheim is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Nurse Practitioner Gerontology
Taxonomy Code: 363LG0600X
Type: Physician Assistants & Advanced Practice Nursing Providers
License No.: 12112
License State: MN

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No.	Taxonomy Code	Type	Classification / Specialization	License No. (State)
1	163W00000X	Nursing Service Providers	Registered Nurse	R2095660 (MN)

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	7	8	0	0	6	5	8	6	2
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	7	16	0	0	6	10	8	12
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 6 + 0 + 0 + 6 + 1 + 0 + 8 + 1 + 2 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 2									2

The NPI number 1780065862 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.