KRISTINE S TAIVALMAA MD
NPI 1043293376
Pediatrics in Fond Du Lac, WI

Q: What is Kristine Taivalmaa's NPI number?

The NPI number for Kristine Taivalmaa is 1043293376. It was assigned to this individual provider in the NPPES registry on November 21, 2005.

Q: What is Kristine Taivalmaa's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Active since November 21, 2005PECOS Enrolled

420 E DIVISION ST, FOND DU LAC, WI 54935(920) 926-8424(920) 926-8389 Get Directions Write a Review

NPPES record last updated: December 16, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Kristine S Taivalmaa Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KRISTINE S TAIVALMAA MD (NPI 1043293376) is an individual pediatrics provider in Fond Du Lac, Wisconsin, licensed in Wisconsin (42205) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043293376

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameKRISTINE S TAIVALMAACredential: MD

Location Address420 E DIVISION STFond Du Lac, WI 54935-4560

Mailing Address420 E Division StFond Du Lac, WI 54935-4560 · (920) 926-8340

Phone(920) 926-8424

Fax(920) 926-8389

Sole ProprietorNo

Enumeration DateNovember 21, 2005

Last NPPES UpdateDecember 16, 2020

NPPES CertifiedDecember 16, 2020

✔ NPI 1043293376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in WI · 42205✔ Licensed in TX · N5427

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

420 E DIVISION ST, Fond Du Lac, WI 54935

Open in Google Maps ↗

Other Identifiers 4

OtherWI01F1WI · John Deere

Medicaid33332600WI

Other390807236FAWI · Unity

Other12560WI · Dean

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Dean Health Plan, Network Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kristine S Taivalmaa Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Kristine Taivalmaa reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Agnesian Healthcare Inc

Same address

Family Medicine

420 E DIVISION ST
Fond Du Lac, WI 54935

Reassigned Medicare billing, Wisconsin enrollment
606 clinicians in this Medicare group

NPI 1730162991 (920) 923-7400

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54935 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARY R KELM NP

Nurse Practitioner