CMS-1500 Box 24J / 33a • NPI
1346986601
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
207V00000X (CMS 16)
Board-Certified Obstetrician & Gynecologist (Women's Health & Pregnancy Doctor)
Box 32 Service Location & ZIP+4
502 2ND ST SW, WILLMAR, MN, 56201-3337
✓ 9-Digit EDI 837 ZIP+4 (56201-3337)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1346986601 (KAITLYN ANDERHOLM, MD) 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
Medicare Part B
✓ Eligible
DMEPOS Ordering
✓ Eligible
Home Health (HHA)
✓ Eligible
Power Mobility
✓ Eligible
Hospice Referring
✓ Eligible
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1346986601 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | KAITLYN ANDERHOLM, MD |
| Plain-English Specialty | Board-Certified Obstetrician & Gynecologist (Women's Health & Pregnancy Doctor) NUCC Code: 207V00000X (Obstetrics & Gynecology) |
| Certifying / Licensing Body | American Board of Obstetrics and Gynecology (ABOG) |
| Practice Location Address | 502 2ND ST SW, WILLMAR, MN, 56201-3337 |
| Practice Telephone / Fax | Tel: (320) 235-7232 |
| Administrative Mailing Address | 502 2ND ST SW, WILLMAR, MN, 56201-3337 |
| Enumeration & Last Sync | Enumerated: 2022-05-10 | CMS Record Updated: 2026-07-17 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (207V00000X)
What Does Taxonomy Code 207V00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207V00000X translates to:
"Board-Certified Obstetrician & Gynecologist (Women's Health & Pregnancy Doctor)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (KAITLYN ANDERHOLM, MD)
Typical CPT / Diagnostic Procedures:- Comprehensive Antenatal Care, Fetal Ultrasound & Labor/Delivery
- Cervical Cytology (Pap Smear), HPV Co-Testing & Colposcopy
- Pelvic Ultrasound & Minimally Invasive Laparoscopic Hysterectomy/Myomectomy
- Prenatal Folic Acid, Iron & Progesterone Supplementation
- Combined Oral Contraceptives, Levonorgestrel IUDs & Hormone Therapy
- Fluconazole, Metronidazole & Pregnancy-Safe Beta-Lactam Antibiotics (Ampicillin)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
207V00000X — Obstetrics & GynecologyPlain English: Board-Certified Obstetrician & Gynecologist (Women's Health & Pregnancy Doctor) | State: MN | License: 83288 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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