CMS-1500 Box 24J / 33a • NPI
1104515576
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
171400000X
Licensed & Credentialed Health & Wellness Coach
Box 32 Service Location & ZIP+4
1570 MIDWAY PLACE, MENASHA, WI, 54952
Official NPPES Practice Location
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1104515576 (MINDY ARNDT) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1104515576 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | MINDY ARNDT |
| Plain-English Specialty | Licensed & Credentialed Health & Wellness Coach NUCC Code: 171400000X (Health & Wellness Coach) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 1570 MIDWAY PLACE, MENASHA, WI, 54952 |
| Practice Telephone / Fax | Tel: (800) 826-0940 | Fax: (920) 720-1909 |
| Administrative Mailing Address | 1570 MIDWAY PLACE, MENASHA, WI, 54952 |
| Enumeration & Last Sync | Enumerated: 2023-05-02 | CMS Record Updated: 2023-05-02 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (171400000X)
What Does Taxonomy Code 171400000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 171400000X translates to:
"Licensed & Credentialed Health & Wellness Coach"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (MINDY ARNDT)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
171400000X — Health & Wellness CoachPlain English: Licensed & Credentialed Health & Wellness Coach | State: N/A | License: Verified | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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