Individual provider Active NPI

Tanya Lynn Weideman, APRN, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • River Falls, WI
National Provider Identifier
1275004897
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1509033 Issued in WI
Practice address
101 N Main St
River Falls, WI 54022-2359
Phone
(715) 821-6732
Fax
(715) 997-8697
NPI assigned
Dec 7, 2018
Last updated
Jul 1, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1509033 WI Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 11485 MN

Addresses

Primary practice location

101 N Main St
River Falls, WI 54022-2359

Mailing address

1038 Town Hall Rd
River Falls, WI 54022-5803
Phone (715) 821-6732

Other practice location 1

1752 Dorset Ln
New Richmond, WI 54017-2452
Phone (715) 307-7553

Other identifiers 1

IdentifierTypeStateIssuer
100270816MedicaidWI

Other names 1

  • Tanya Seidling Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, MN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240529001911 WI Practitioner - Nurse Practitioner 1658713185 Reassigns benefits to 1 organization
I20240924000865 MN Practitioner - Nurse Practitioner 1658713185

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Croix CountyGroup PAC ID 3779676044, 9 clinicians

Practice addresses (Care Compare)

1752 Dorset LN
New Richmond, WI 54017-2452
Phone (715) 246-8330

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
2108214MNMDRegistered Nurse
0193509WIMDHome Health Registered Nurse
1509033WIMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Croix County CurrentSince Apr 15, 2024 Accepting new patients
St Croix County CurrentSince Apr 15, 2024 Accepting new patients

Locations

1445 N 4th St
New Richmond, WI 54017
Phone (715) 246-6991

1752 Dorset Ln
New Richmond, WI 54017
Phone (715) 246-6991

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1544140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782864000000",
    "number": "1275004897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1038 TOWN HALL RD",
            "city": "RIVER FALLS",
            "state": "WI",
            "postal_code": "540225803",
            "telephone_number": "715-821-6732",
            "fax_number": "715-997-8697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N MAIN ST",
            "city": "RIVER FALLS",
            "state": "WI",
            "postal_code": "540222359",
            "telephone_number": "715-821-6732",
            "fax_number": "715-997-8697"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1752 Dorset Ln",
            "address_purpose": "LOCATION",
            "city": "New Richmond",
            "state": "WI",
            "postal_code": "540172452",
            "country_code": "US",
            "telephone_number": "715-307-7553",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEIDEMAN",
        "first_name": "TANYA",
        "middle_name": "LYNN",
        "credential": "APRN, PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-07",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WI",
            "license": "1509033",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MN",
            "license": "11485",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100270816",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TANYA",
            "last_name": "SEIDLING",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in River Falls, WI

Sources for this page

Verify at the official NPI Registry.