KIMBERLY MOLDENHAUER NP
NPI 1720420391
Nurse Practitioner in Fond Du Lac, WI

Q: What is Kimberly Moldenhauer's NPI number?

The NPI number for Kimberly Moldenhauer is 1720420391. It was assigned to this individual provider in the NPPES registry on July 24, 2013.

Q: What is Kimberly Moldenhauer's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since July 24, 2013PECOS EnrolledAccepts Medicare Assignment

95.81/100

CMS Quality Rating

23 W SCOTT ST, FOND DU LAC, WI 54935(920) 926-0101 Get Directions Write a Review

NPPES record last updated: June 7, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Kimberly Moldenhauer Np NPPES

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

KIMBERLY MOLDENHAUER NP (NPI 1720420391) is an individual nurse practitioner in Fond Du Lac, Wisconsin, licensed in Wisconsin (143118) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS, is affiliated with Gordon Memorial Hospital District, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1720420391

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameKIMBERLY MOLDENHAUERCredential: NP

Location Address23 W SCOTT STFond Du Lac, WI 54935-2342

Mailing Address23 W Scott StFond Du Lac, WI 54935-2342 · (920) 926-0101

Phone(920) 926-0101

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateJuly 24, 2013

Last NPPES UpdateJune 7, 2023

NPPES CertifiedJune 7, 2023

✔ NPI 1720420391 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in WI · 143118

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

23 W SCOTT ST, Fond Du Lac, WI 54935

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Nebraska, CareSource (Common Ground Healthcare), Group Health Cooperative-SCW and more.Insurance ›

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 Moldenhauer Np 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 ID5496989683

PECOS Enrollment IDI20131001000161, I20150129001670, I20251016000348

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.

Gordon Memorial Hospital District

Critical Access Hospitals · Gordon, NE

OwnershipGovernment - Hospital District or Authority

CMS Certification Number281358

Location300 East 8th StGordon, NE 69343 · Sheridan County

Emergency services

Mile Bluff Medical Center

Acute Care Hospitals · Mauston, WI

OwnershipProprietary

CMS Certification Number520109

Location1050 Division StMauston, WI 53948 · Juneau County

Emergency services Birthing friendly

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.81/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

100

Promoting Interoperability

Improvement Activities

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.

DANIELLE LISNEY

Registered Nurse (Addiction (Substance Use Disorder))