JEANNE RAY WIEDEMANN NNP-BC
NPI 1861728495
Nurse Practitioner - Neonatal in Phoenix, AZ

Active since November 02, 2009PECOS Enrolled
7720 N 16TH ST, STE 425, PHOENIX, AZ 85020(602) 476-8962(623) 643-9236 Get Directions Write a Review

NPPES record last updated: October 13, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

NPI1861728495
Entity TypeIndividualFemale
Primary Taxonomy363LN0000X
Provider Legal NameJEANNE RAY WIEDEMANNCredential: NNP-BC
Location Address7720 N 16TH ST, STE 425Phoenix, AZ 85020-4492
Mailing Address7720 N 16th St, Ste 425Phoenix, AZ 85020-4492 · (602) 476-8962 · Fax (623) 643-9236
Fax(623) 643-9236
Sole ProprietorNo
Enumeration DateNovember 2, 2009
Last NPPES UpdateOctober 13, 2014
NPI 1861728495 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · NeonatalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LN0000X
License Licensed in AZ · AP2464
Also ListedRegistered NurseTaxonomy 163W00000X · License RN080027 (AZ)
7720 N 16TH ST, Phoenix, AZ 85020

Other Identifiers 1

Medicaid575555AZ

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 (PECOS)

Jeanne Ray Wiedemann Nnp-bc 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 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.

New Patient
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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 13

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

Nurse Practitioner (Neonatal)
7720 N 16TH ST, STE 425
PHOENIX, AZ 85020
Pediatrics
7720 N 16TH ST, SUITE 425
PHOENIX, AZ 85020
Pediatrics (Adolescent Medicine)
7720 N 16TH ST, SUITE 425
PHOENIX, AZ 85020
Nurse Practitioner (Neonatal)
7720 N 16TH ST, STE 425
PHOENIX, AZ 85020
Pediatrics (Neonatal-Perinatal Medicine)
7720 N 16TH ST, STE 425
PHOENIX, AZ 85020
Pediatrics (Adolescent Medicine)
7720 N 16TH ST, STE 425
PHOENIX, AZ 85020
Nurse Practitioner (Neonatal)
7720 N 16TH ST, STE 425
PHOENIX, AZ 85020
Nurse Practitioner
7720 N 16TH ST, STE 425
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.

What insurance does Jeanne Wiedemann accept?

Health plans from Blue Cross Blue Shield of Arizona 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 October 13, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.