Individual provider Active NPI

Kimberly Sue Hoenecke, D.O.

  • Psychiatry Physician
  • Winnebago, WI
National Provider Identifier
1184068181
Registry record updated Sep 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
63256 Issued in WI
Practice address
PO Box 9
Winnebago, WI 54985-0009
Phone
(920) 235-4910
NPI assigned
Apr 20, 2013
Last updated
Sep 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 63256 WI Primary

Addresses

Primary practice location

PO Box 9
Winnebago, WI 54985-0009

Mailing address

PO Box 9
1300 South Drive
Winnebago, WI 54985-0009
Phone (920) 235-4910

Other identifiers 1

IdentifierTypeStateIssuer
1184068181MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160329001039 WI Practitioner - Psychiatry 3577786912 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
63256WIMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Human Services Board Serving North Central Health Care Facility Current Accepting new patients
County of Wood CurrentSince Aug 1, 2019 Accepting new patients
Human Services Board Serving North Central Heatlh Care Facility CurrentSince Jun 10, 2019 Accepting new patients
Human Services Board Serving North Central Health Care Facility CurrentSince Jun 10, 2019 Accepting new patients
Winnebago Mental Health Institute PastSince Jun 30, 2024 Accepting new patients

Locations

1600 N Chestnut Ave
Marshfield, WI 54449
Phone (715) 384-2188

1100 Lake View Dr
Wausau, WI 54403
Phone (715) 848-4454

2400 Marshall St
Ste A
Wausau, WI 54403
Phone (715) 848-4600

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1366416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790726400000",
    "number": "1184068181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9",
            "address_2": "1300 SOUTH DRIVE",
            "city": "WINNEBAGO",
            "state": "WI",
            "postal_code": "549850009",
            "telephone_number": "920-235-4910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 9",
            "city": "WINNEBAGO",
            "state": "WI",
            "postal_code": "549850009",
            "telephone_number": "920-235-4910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOENECKE",
        "first_name": "KIMBERLY",
        "middle_name": "SUE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-20",
        "last_updated": "2026-09-30",
        "certification_date": "2026-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WI",
            "license": "63256",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1184068181",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winnebago, WI

Sources for this page

Verify at the official NPI Registry.