DANA WICKERSHEIM NP NPI 1780065862

NPI Information

  • NPI: 1780065862
  • Provider Name: DANA WICKERSHEIM, NP
  • Classification: Nurse Practitioner - 363LG0600X
  • Specialization: Gerontology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 683 BIELENBERG DR STE 103
    WOODBURY, MN
    ZIP 55125
  • Phone: (952) 841-2346

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NPI Details

Dana Wickersheim, NP is a gerontology nurse practitioner in Woodbury, MN with 6 years of experience. Dana Wickersheim, NP NPI is 1780065862. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

683 BIELENBERG DR STE 103
WOODBURY, MN
ZIP 55125-711
Phone: (952) 841-2346

The NPI 1780065862 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/15/2015 and was last updated on 3/4/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163W00000XRegistered NurseR2095660MINNESOTANo
2363LG0600XNurse PractitionerGerontology12112MINNESOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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