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KIMBERLY LYNN LANHOLM MSN, APN, FNP-C
NPI 1235951849
Nurse Practitioner - Family in Pennsauken, NJ

Active since October 26, 2024PECOS EnrolledAccepts Medicare Assignment
6981 NORTH PARK DRIVE, SUITE 200A, PENNSAUKEN, NJ 08109(856) 663-4949(856) 663-6076 Get Directions Write a Review

NPPES record last updated: April 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kimberly Lynn Lanholm Msn, Apn, Fnp-c NPPES

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

KIMBERLY LYNN LANHOLM MSN, APN, FNP-C (NPI 1235951849) is an individual family provider in Pennsauken, New Jersey, licensed in New Jersey (26NJ15188000) and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS, is affiliated with Virtua Our Lady Of Lourdes Hospital, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1235951849
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKIMBERLY LYNN LANHOLMCredential: MSN, APN, FNP-C
Location Address6981 NORTH PARK DRIVE, SUITE 200APennsauken, NJ 08109-4201
Mailing Address301 Lippincott Drive, Suite 410Marlton, NJ 08053 · (856) 355-0340
Phone(856) 663-4949
Fax(856) 663-6076
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateOctober 26, 2024
Last NPPES UpdateApril 30, 2025
NPPES CertifiedApril 30, 2025
✔ NPI 1235951849 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NJ · 26NJ15188000
6981 NORTH PARK DRIVE, SUITE 200A, Pennsauken, NJ 08109
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kimberly Lynn Lanholm Msn, Apn, Fnp-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3779012224
PECOS Enrollment IDI20250128004337
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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Virtua Our Lady Of Lourdes Hospital

Acute Care Hospitals · Camden, NJ
1/5 CMS rating
OwnershipGovernment - State
CMS Certification Number310029
Location1600 Haddon AvenueCamden, NJ 08103 · Camden County
Emergency services Birthing friendly

Virtua Mount Holly Hospital

Acute Care Hospitals · Mount Holly, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310057
Location175 Madison AveMount Holly, NJ 08060 · Burlington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08109 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
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
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.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberly Lanholm's NPI number?

The NPI number for Kimberly Lanholm is 1235951849. It was assigned to this individual provider in the NPPES registry on October 26, 2024.

Where is Kimberly Lanholm located?

Kimberly Lanholm practices at 6981 North Park Drive, Suite 200A, Pennsauken, NJ 08109. The listed phone number is (856) 663-4949.

What is Kimberly Lanholm's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kimberly Lanholm enrolled in Medicare?

Yes. Kimberly Lanholm is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Kimberly Lanholm affiliated with any hospitals?

According to CMS data, Kimberly Lanholm is affiliated with Virtua Our Lady Of Lourdes Hospital and Virtua Mount Holly Hospital.

When was this NPI record last updated?

The NPPES record for Kimberly Lanholm was last updated on April 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.