DR. MARIA KRISTIN VANDENBERG (M.D.) – Obstetrics & Gynecology Physician, NPI 1255565701

DR. MARIA KRISTIN VANDENBERG (M.D.) is a healthcare provider. based in Appleton, Wisconsin. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials M.D.. They hold a License No. 60293-20 (WI). The NPI Number for DR. MARIA KRISTIN VANDENBERG (M.D.) is 1255565701

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARIA KRISTIN VANDENBERG (M.D.)
NPI
1255565701
Phone
(920) 729-7105
Address
5485 W GRANDE MARKET DR STE C
Enumeration Date
13 May 2009
Last Update Date
27 April 2022

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF WISCONSIN
Secondary Phone
9207297105
Graduation Year
2009 (17 years ago)
PAC ID
1254570922
Group Practice PAC ID
3072416601
Professional Enrollment ID
I20130826000072
Address ID
WI549562790NE200XXPLZX502
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:17State licenses:1Digital endpointsOther names

798 OBSTETRICS/GYNECOLOGY in WI

Provider Addresses for DR. MARIA KRISTIN VANDENBERG (M.D.)

  • 5485 W GRANDE MARKET DR STE C

    APPLETON, WI 549138430

    Phone: (920) 729-7105

    Type: Mailing

  • 200 THEDA CLARK MEDICAL PLZ

    SUITE 130

    NEENAH, WI 549562721

    Phone: (920) 729-7105

    Type: Location

  • 3232 N BALLARD RD STE 100

    APPLETON, WI 549118804

    Phone: (920) 729-7105

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 16 Open Payments records for all available years, with a total value of $386.

Total Amount is formed as General ($386) + Research ($0) + Ownership ($0) = $386.

Last reported payment date: 2024-12-09 • Largest payer in this snapshot: ABBVIE INC. ($102).

Total Amount

$386

General + Research + Ownership

Payments

16

Total payment records

General Amount

$386

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-09

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2013-08-26

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
I20130826000072IObstetrics/GynecologyWITBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 54913)

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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: 3072416601View full group profile
NameSpecialtyState
Nurse PractitionerWI
O B S T E T R I C S/ G Y N E C O L O G YWI
-WI
-WI
O B S T E T R I C S/ G Y N E C O L O G YWI
O B S T E T R I C S/ G Y N E C O L O G YWI
O B S T E T R I C S/ G Y N E C O L O G YWI
O B S T E T R I C S/ G Y N E C O L O G YWI
O B S T E T R I C S/ G Y N E C O L O G YWI
O B S T E T R I C S/ G Y N E C O L O G YWI

Reviews

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Frequently asked questions

Can I use this page to confirm DR. MARIA KRISTIN VANDENBERG (M.D.)'s NPI?
Yes. DR. MARIA KRISTIN VANDENBERG (M.D.) is listed with NPI 1255565701 in the public NPI dataset.
Is DR. MARIA KRISTIN VANDENBERG (M.D.) listed as active for patients and plans?
The listing shows DR. MARIA KRISTIN VANDENBERG (M.D.) as active in the NPI system.
What is DR. MARIA KRISTIN VANDENBERG (M.D.) best known for clinically?
Directory data describes DR. MARIA KRISTIN VANDENBERG (M.D.) with Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
Does DR. MARIA KRISTIN VANDENBERG (M.D.) list a practice location?
Patients near Appleton, Wisconsin may find DR. MARIA KRISTIN VANDENBERG (M.D.) in results; validate coverage separately.
How many locations tie to this NPI?
3 practice locations appear in the available data.

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