Individual provider Active NPI

Ross Patrick Wiedemann, MD

  • Psychiatry Physician
  • Bozeman, MT
National Provider Identifier
1437713385
Registry record updated Apr 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MED-PHYS-LIC-140970 Issued in MT
Practice address
931 Highland Blvd Ste 3310
Bozeman, MT 59715-6912
Phone
(406) 414-5840
NPI assigned
Apr 25, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 324597 LA
Psychiatry Physician 2084P0800X MED-PHYS-LIC-140970 MT Primary

Addresses

Primary practice location

931 Highland Blvd Ste 3310
Bozeman, MT 59715-6912

Mailing address

915 Highland Blvd
Bozeman, MT 59715-6902
Phone (406) 414-5000

Other practice location 1

1542 Tulane Ave
New Orleans, LA 70112-2865
Phone (504) 568-6004

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, MT2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230712001200 NC Practitioner - Psychiatry 4880920198 Reassigns benefits to 1 organization
I20240919001106 MT Practitioner - Psychiatry 4880920198 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bozeman Health Deaconess HospitalGroup PAC ID 4688984164, 309 clinicians

Practice addresses (Care Compare)

931 Highland Blvd
Suite 3310
Bozeman, MT 59715-6912
Phone (406) 414-5840

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.04 of 100Reported as group
Quality
84.13
Promoting interoperability
100
Improvement activities
40
Cost
72.66

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MED-PHYS-LIC-140970MTMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bozeman Health Deaconess Hospital CurrentSince Jul 6, 2024 Accepting new patients
Bozeman Health Deaconess Hospital Current Accepting new patients
Belgrade Clinic PLLP Current Accepting new patients
The Pisgah Institute for Psychotherapy & Education, P.a. CurrentSince Aug 1, 2023 Accepting new patients
Bozeman Health Deaconess Hospital CurrentSince Jul 6, 2024 Accepting new patients
The Pisgah Institute for Psychotherapy & Education, P.a. Psychiatry CurrentSince Aug 1, 2023 Accepting new patients
Bozeman Health Deaconess Hospital Past Accepting new patients

Locations

931 Highland Blvd
Ste 3260
Bozeman, MT 59715
Phone (406) 414-2410

915 Highland Blvd
Bozeman, MT 59715
Phone (406) 414-1720

925 Highland Blvd
Ste 1220
Bozeman, MT 59715
Phone (406) 414-3780

925 Highland Blvd
Bozeman, MT 59715
Phone (406) 414-3780

931 Highland Blvd
Ste 3310
Bozeman, MT 59715
Phone (406) 414-5840

158 Zillicoa St
Asheville, NC 28801
Phone (828) 254-9494

Organizations & group practices 7

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1556150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744156800000",
    "number": "1437713385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 HIGHLAND BLVD",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597156902",
            "telephone_number": "406-414-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "931 HIGHLAND BLVD STE 3310",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597156912",
            "telephone_number": "406-414-5840"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1542 Tulane Ave",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "701122865",
            "country_code": "US",
            "telephone_number": "504-568-6004",
            "fax_number": "504-568-6006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIEDEMANN",
        "first_name": "ROSS",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-25",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "LA",
            "license": "324597",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MT",
            "license": "MED-PHYS-LIC-140970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bozeman, MT

Sources for this page

Verify at the official NPI Registry.