DR. BENJAMIN KANNENBERG MD
NPI 1861134009
Psychiatry & Neurology - Psychiatry in Columbus, WI

Q: What is Benjamin Kannenberg's NPI number?

The NPI number for Benjamin Kannenberg is 1861134009. It was assigned to this individual provider in the NPPES registry on April 8, 2022.

Q: What is Benjamin Kannenberg's specialty?

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

Active since April 08, 2022PECOS Enrolled

1515 PARK AVE, COLUMBUS, WI 53925(920) 623-1200 Get Directions Write a Review

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

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About Dr. Benjamin Kannenberg Md NPPES

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

DR. BENJAMIN KANNENBERG MD (NPI 1861134009) is an individual psychiatry provider in Columbus, Wisconsin, licensed in Wisconsin (87287-20) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861134009

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NameDR. BENJAMIN KANNENBERGCredential: MD

Location Address1515 PARK AVEColumbus, WI 53925-2402

Mailing Address1515 Park AveColumbus, WI 53925-2402

Phone(920) 623-1200

Sole ProprietorNo

Enumeration DateApril 8, 2022

Last NPPES UpdateJune 16, 2026

NPPES CertifiedJune 16, 2026

✔ NPI 1861134009 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in WI · 87287-20

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.

1515 PARK AVE, Columbus, WI 53925

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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)

Dr. Benjamin Kannenberg Md 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 53925 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

$163.24 typical visit price

range $53.90 – $163.24

Typical copayment $40.81 (range $13.47 – $40.81)

Most-billed visit code 99205

Established Patient

$67.37 typical visit price

range $17.40 – $133.76

Typical copayment $16.84 (range $4.35 – $33.44)

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.

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.

ZACHARY JON AHOLA MD

Family Medicine