KATHERINE VANDERHEIDEN MAC
NPI 1538807367
Counselor - Professional in Green Bay, WI
About Katherine Vanderheiden Mac NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATHERINE VANDERHEIDEN MAC (NPI 1538807367) is an individual professional provider in Green Bay, Wisconsin, licensed in Wisconsin (11125-125) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Katherine Vanderheiden Mac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Katherine Vanderheiden reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Neenah, WI 54956
- Reassigned Medicare billing, Wisconsin enrollment
- 17 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
GREEN BAY, WI 54304
GREEN BAY, WI 54304
GREEN BAY, WI 54304
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 Katherine Vanderheiden's NPI number?
The NPI number for Katherine Vanderheiden is 1538807367. It was assigned to this individual provider in the NPPES registry on May 23, 2022.
Where is Katherine Vanderheiden located?
Katherine Vanderheiden practices at 2640 W Point Rd, Green Bay, WI 54304. The listed phone number is (920) 490-3790.
What is Katherine Vanderheiden's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Katherine Vanderheiden enrolled in Medicare?
Yes. Katherine Vanderheiden is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Katherine Vanderheiden's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Katherine Vanderheiden reassigns Medicare benefits to Lk Anderson Consulting LLC (Neenah, WI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Katherine Vanderheiden's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Katherine Vanderheiden accept?
Health plans from CareSource (Common Ground Healthcare), Dean Health Plan, HealthPartners, Network Health and UnitedHealthcare list Katherine Vanderheiden as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Katherine Vanderheiden was last updated on August 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Katherine Vanderheiden, MAC · NPI 1538807367
Professional provider in Green Bay, Wisconsin. Individual provider, active in the CMS NPPES registry since May 23, 2022.
## Identity
- **NPI:** 1538807367 (Entity type: Individual)
- **Enumerated:** May 23, 2022
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 11125-125 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 2640 W POINT RD, Green Bay, WI 54304-1344
- **Phone:** (920) 490-3790
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Lk Anderson Consulting LLC (NPI 1215401468, Neenah, WI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** August 19, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1538807367) · Data from the CMS NPPES public registry.