JEANNE RAY WIEDEMANN NNP-BC
NPI 1861728495
Nurse Practitioner - Neonatal in Phoenix, AZ
About Jeanne Ray Wiedemann Nnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JEANNE RAY WIEDEMANN NNP-BC (NPI 1861728495) is an individual neonatal provider in Phoenix, Arizona, licensed in Arizona (AP2464) and active in the NPI registry since November 2009. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jeanne Ray Wiedemann Nnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Jeanne Wiedemann reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Phoenix, AZ 85012
- Reassigned Medicare billing, Arizona enrollment
- 1,514 clinicians in this Medicare group
Tucson, AZ 85745
- Reassigned Medicare billing, Arizona enrollment
- 293 clinicians in this Medicare group
Sierra Vista, AZ 85635
- Reassigned Medicare billing, Arizona enrollment
- 128 clinicians in this Medicare group
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 85020 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PHOENIX, AZ 85020
PHOENIX, AZ 85020
PHOENIX, AZ 85020
PHOENIX, AZ 85020
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 Jeanne Wiedemann's NPI number?
The NPI number for Jeanne Wiedemann is 1861728495. It was assigned to this individual provider in the NPPES registry on November 2, 2009.
Where is Jeanne Wiedemann located?
Jeanne Wiedemann practices at 7720 N 16th St Ste 425, Phoenix, AZ 85020. The listed phone number is (602) 476-8962.
What is Jeanne Wiedemann's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Neonatal, with taxonomy code 363LN0000X.
Is Jeanne Wiedemann enrolled in Medicare?
Yes. Jeanne Wiedemann is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Jeanne Wiedemann's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jeanne Wiedemann reassigns Medicare benefits to 3 organizations: Banner-University Medical Group (Phoenix, AZ), Tucson Physician Group Holdings, LLC (Tucson, AZ) and Sierra Vista Regional Health Center Medical Group LLC (Sierra Vista, AZ). Each 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 Jeanne Wiedemann's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jeanne Wiedemann accept?
Health plans from Blue Cross Blue Shield of Arizona and Oscar Health Plan, Inc. list Jeanne Wiedemann 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 Jeanne Wiedemann was last updated on September 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 50 days 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.
# Jeanne Ray Wiedemann, NNP-BC · NPI 1861728495
Neonatal physician in Phoenix, Arizona. Individual provider, active in the CMS NPPES registry since November 2, 2009.
## Identity
- **NPI:** 1861728495 (Entity type: Individual)
- **Enumerated:** November 2, 2009
- **Primary specialty:** Nurse Practitioner - Neonatal · taxonomy 363LN0000X
- **State license:** AP2464 (Arizona)
- **Sole proprietor:** No
## Practice location
- **Address:** 7720 N 16TH ST, STE 425, Phoenix, AZ 85020-4492
- **Phone:** (602) 476-8962 · **Fax:** (623) 643-9236
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Banner-University Medical Group (NPI 1508809427, Phoenix, AZ); Tucson Physician Group Holdings, LLC (NPI 1356726939, Tucson, AZ); Sierra Vista Regional Health Center Medical Group LLC (NPI 1043575483, Sierra Vista, AZ) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 12, 2026
- **Other identifiers:** Medicaid 575555 (AZ)
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Source: [NPI Profile](https://npiprofile.com/npi/1861728495) · Data from the CMS NPPES public registry.