ANDREA SHEA WITHAM (FNP-C, PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1275982324

ANDREA SHEA WITHAM (FNP-C, PMHNP-BC) is a healthcare provider. based in Roseburg, Oregon. specializing in Psychiatric/Mental Health Nurse Practitioner. They hold the professional credentials FNP-C, PMHNP-BC. They hold a License No. 202201834NP-PP (OR). The NPI Number for ANDREA SHEA WITHAM (FNP-C, PMHNP-BC) is 1275982324

Main info

Female
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
ANDREA SHEA WITHAM (FNP-C, PMHNP-BC)
NPI
1275982324
Phone
(503) 455-7656
Address
753 SE MAIN ST STE 205
Enumeration Date
9 June 2016
Last Update Date
25 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5414640788
Graduation Year
2016 (10 years ago)
PAC ID
5799067674
Group Practice PAC ID
6305147745
Professional Enrollment ID
I20171228000352
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:9State licenses:3Digital endpointsOther names

Provider Addresses for ANDREA SHEA WITHAM (FNP-C, PMHNP-BC)

  • 753 SE MAIN ST STE 205

    ROSEBURG, OR 974703985

    Phone: (503) 455-7656

    Fax: (503) 457-0645

    Type: Location

  • PO BOX 40942

    MESA, AZ 852740942

    Phone: (602) 430-1569

    Type: Mailing

  • 201, Northwest Garden Valley Boulevard, Roseburg, Douglas County, Oregon, 97470, United States

    ROSEBURG, OR 974711636

    Phone: (541) 464-0788

    Type: Location

  • 11 SW BRANTLEY DR

    WINSTON, OR 974964526

    Phone: (602) 430-1569

    Fax: (541) 679-4821

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $306.

Total Amount is formed as General ($306) + Research ($0) + Ownership ($0) = $306.

Last reported payment date: 2024-06-25 • Largest payer in this snapshot: ABBVIE INC. ($99).

Total Amount

$306

General + Research + Ownership

Payments

9

Total payment records

General Amount

$306

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-25

Latest reported date

Top Companies

Largest payers in this snapshot

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97470)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6305147745View full group profile

Reviews

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Frequently asked questions

What federal number belongs to ANDREA SHEA WITHAM (FNP-C, PMHNP-BC)?
The federal identifier for ANDREA SHEA WITHAM (FNP-C, PMHNP-BC) is NPI 1275982324.
Is ANDREA SHEA WITHAM (FNP-C, PMHNP-BC) active in the national directory?
ANDREA SHEA WITHAM (FNP-C, PMHNP-BC)'s public NPI profile is in an active state.
What field does ANDREA SHEA WITHAM (FNP-C, PMHNP-BC) work in?
You can think of ANDREA SHEA WITHAM (FNP-C, PMHNP-BC) as practicing within Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is ANDREA SHEA WITHAM (FNP-C, PMHNP-BC)'s primary listing?
We display Roseburg, Oregon because that is what the record indicates for ANDREA SHEA WITHAM (FNP-C, PMHNP-BC).
What if Roseburg, Oregon seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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