KIMBERLY SUE OLDENBURG NP
NPI 1659977510
Nurse Practitioner - Primary Care in Suttons Bay, MI
About Kimberly Sue Oldenburg Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIMBERLY SUE OLDENBURG NP (NPI 1659977510) is an individual primary care provider in Suttons Bay, Michigan, licensed in Michigan (4704283424) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
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)
Kimberly Sue Oldenburg Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Kimberly Oldenburg reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Suttons Bay, MI 49682
- Reassigned Medicare billing, Michigan enrollment
- 7 clinicians in this Medicare group
Dallas, TX 75244
- Reassigned Medicare billing, Michigan enrollment
- 666 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 49682 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PESHAWBESTOWN, MI 49682
PESHAWBESTOWN, MI 49682
SUTTONS BAY, MI 49682
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 Oldenburg's NPI number?
The NPI number for Kimberly Oldenburg is 1659977510. It was assigned to this individual provider in the NPPES registry on December 7, 2020.
Where is Kimberly Oldenburg located?
Kimberly Oldenburg practices at 2300 N Stallman Rd, Suttons Bay, MI 49682. The listed phone number is (231) 534-7200.
What is Kimberly Oldenburg's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Kimberly Oldenburg enrolled in Medicare?
Yes. Kimberly Oldenburg is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Kimberly Oldenburg's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Oldenburg reassigns Medicare benefits to 2 organizations: Grand Traverse Band Of Ottawa And Chippewa Indians (Suttons Bay, MI) and Signify Health Medical Associates, PLLC (Dallas, TX). Each 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 Kimberly Oldenburg's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kimberly Oldenburg accept?
Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Kimberly Oldenburg 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 Kimberly Oldenburg was last updated on February 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.
# Kimberly Sue Oldenburg, NP · NPI 1659977510
Primary Care physician in Suttons Bay, Michigan. Individual provider, active in the CMS NPPES registry since December 7, 2020.
## Identity
- **NPI:** 1659977510 (Entity type: Individual)
- **Enumerated:** December 7, 2020
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **State license:** 4704283424 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 2300 N STALLMAN RD, Suttons Bay, MI 49682-9158
- **Phone:** (231) 534-7200
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Grand Traverse Band Of Ottawa And Chippewa Indians (NPI 1134281132, Suttons Bay, MI); Signify Health Medical Associates, PLLC (NPI 1750845863, Dallas, TX) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 25, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1659977510) · Data from the CMS NPPES public registry.