DR. KIMBERLY J ANDRESEN (AU.D CCC-A) – Audiologist, NPI 1679573794

DR. KIMBERLY J ANDRESEN (AU.D CCC-A) is a healthcare provider. based in Grand island, Nebraska. specializing in QUALIFIED AUDIOLOGIST. They hold the professional credentials AU.D CCC-A. They hold a License No. 2201001204 (VA). The NPI Number for DR. KIMBERLY J ANDRESEN (AU.D CCC-A) is 1679573794

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
DR. KIMBERLY J ANDRESEN (AU.D CCC-A)
NPI
1679573794
Phone
(308) 384-2101
Address
2421 WEST FAIDLEY AVENUE
Enumeration Date
29 July 2005
Last Update Date
29 June 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3083842101
Graduation Year
2004 (22 years ago)
PAC ID
4880880855
Group Practice PAC ID
4385714120
Professional Enrollment ID
I20110209000475
Address ID
NE688034328GR2421XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness75
Years active:20State licenses:3Digital endpointsOther names

98 QUALIFIED AUDIOLOGIST in NE

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Provider Addresses for DR. KIMBERLY J ANDRESEN (AU.D CCC-A)

  • 2421, West Faidley Avenue, Grand Island, Hall County, Nebraska, 68803, United States

    GRAND ISLAND, NE 688034328

    Phone: (308) 384-2101

    Fax: (308) 381-4787

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-02-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110209000475IQualified AudiologistNETBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92557Comprehensive hearing and speech recognition test105100$0
92567Test to assess middle ear function9287$0
92627Evaluation of hearing function related to surgically implanted hearing device, each additional 15 minutes3716$0
92626Evaluation of hearing function related to surgically implanted hearing device, first hour3425$0
92604Analysis and reprogramming of inner ear implant (7 years or older)3124$0
View full utilization report →

Insurance plans in this area (ZIP 68803)

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Provider's Procedures

DR. KIMBERLY J ANDRESEN (AU.D CCC-A) performs procedures in QUALIFIED AUDIOLOGIST. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
QUALIFIED AUDIOLOGISTNE92540Observation, testing, and recording of abnormal eye movement2222
QUALIFIED AUDIOLOGISTNE92567Eardrum testing using ear probe4947

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4385714120View full group profile
NameSpecialtyState
Qualified AudiologistNE
Qualified AudiologistNE
Qualified AudiologistNE

Reviews

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Frequently asked questions

What federal number belongs to DR. KIMBERLY J ANDRESEN (AU.D CCC-A)?
The federal identifier for DR. KIMBERLY J ANDRESEN (AU.D CCC-A) is NPI 1679573794.
Is DR. KIMBERLY J ANDRESEN (AU.D CCC-A)'s NPI currently valid?
The extract we use shows DR. KIMBERLY J ANDRESEN (AU.D CCC-A) as active.
What field does DR. KIMBERLY J ANDRESEN (AU.D CCC-A) work in?
You can think of DR. KIMBERLY J ANDRESEN (AU.D CCC-A) as practicing within Audiologist. Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. KIMBERLY J ANDRESEN (AU.D CCC-A)?
The page summarizes Grand Island, Nebraska for DR. KIMBERLY J ANDRESEN (AU.D CCC-A); expand the address list for detail.
What if Grand Island, Nebraska seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.