KIMBERLY ANN WOUDENBERG M.D.
NPI 1669165254
Psychiatry & Neurology - Psychiatry in Springfield, IL

Q: What is Kimberly Woudenberg's NPI number?

The NPI number for Kimberly Woudenberg is 1669165254. It was assigned to this individual provider in the NPPES registry on May 30, 2023.

Q: What is Kimberly Woudenberg's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Active since May 30, 2023PECOS Enrolled

301 N 8TH ST STE 3A158, SPRINGFIELD, IL 62701(217) 545-8853 Get Directions Write a Review

NPPES record last updated: May 30, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Kimberly Ann Woudenberg M.d. NPPES

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

KIMBERLY ANN WOUDENBERG M.D. (NPI 1669165254) is an individual psychiatry provider in Springfield, Illinois, licensed in Illinois (125081488) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669165254

Entity TypeIndividualFemale

Primary Taxonomy2084P0800X

Provider Legal NameKIMBERLY ANN WOUDENBERGCredential: M.D.

Location Address301 N 8TH ST STE 3A158Springfield, IL 62701-1085

Mailing Address301 N 8th St Ste 3a158Springfield, IL 62701-1085 · (217) 545-8853

Phone(217) 545-8853

Sole ProprietorNo

Enumeration DateMay 30, 2023

NPPES CertifiedMay 30, 2023

✔ NPI 1669165254 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in IL · 125081488

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Also ListedInternal MedicineTaxonomy 207R00000X · License 125081488 (IL)

301 N 8TH ST STE 3A158, Springfield, IL 62701

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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 (PECOS)

Kimberly Ann Woudenberg M.d. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62701 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

$168.44 typical visit price

range $54.80 – $168.44

Typical copayment $42.11 (range $13.70 – $42.11)

Most-billed visit code 99205

Established Patient

$68.64 typical visit price

range $17.16 – $136.56

Typical copayment $17.16 (range $4.29 – $34.14)

Most-billed visit code 99213

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

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Other Providers at the Same Location NPPES 15

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

DR. NATALIE ANNA POLECHONSKI DO

Psychiatry & Neurology (Psychiatry)