Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Shawna Kelly-Wickersheim, CPM

Individual provider Midwife · NPI 1528499001

Shawna Kelly-Wickersheim, CPM is a Midwife in Prineville, Oregon. Practices as a sole proprietor. Registered with an NPI since 2013.

In the registry since
2013
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Practice location Address checks out

591 NE 2nd St
Prineville, OR 97754-2014
Phone: (541) 550-6200
Fax: (541) 447-4118
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Midwife (primary) Taxonomy 176B00000X

Record details

NPI number1528499001
Entity typeIndividual (Type 1)
GenderFemale
Credentials CPM
Sole proprietorYes
NPI enumeratedDecember 9, 2013
Last updated in NPPESDecember 9, 2013