Kimberly S Knudsen, AU.D.
Individual provider Active NPI Audiologist-Hearing Aid Fitter · Whitewater, WI
NPI 1619990769 · NPPES record last updated Dec 19, 2025
Key facts
- NPI
- 1619990769
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Audiologist-Hearing Aid Fitter 237600000X
- License
- 277-156 (WI)
- Practice address
- 1461 W Main St
Whitewater, WI 53190-1568 - Phone
- (262) 473-8920
- Fax
- (262) 473-3960
- NPI assigned
- Jul 26, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Qualified Audiologist
- Education
- Pacific Medical College, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Fort Healthcare Inc
Practice addresses (Care Compare)
611 Sherman Ave E
Fort Atkinson, WI 53538-1960
Phone (920) 563-6667
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100828000148 | WI | Practitioner - Qualified Audiologist | 0840314795 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 277-156 | WI | MD | Audiologist-Hearing Aid Fitter |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fort Healthcare, Inc. | Current |
Accepting new patients | |
| Fort Healthcare Inc | Current | Accepting new patients | |
| Fort Healthcare Inc | Current |
Accepting new patients | |
| Connect Hearing, Inc. | Audiologist-Hearing Aid Fitter | Past |
Accepting new patients |
| Hearing Center, Inc. | Audiologist-Hearing Aid Fitter | Past | Accepting new patients |
Locations
611 Sherman Ave E
Fort Atkinson, WI 53538
Phone (920) 563-6667
512 Wilcox St
Fort Atkinson, WI 53538
Phone (920) 563-7366
1461 W Main St
Whitewater, WI 53190
Phone (262) 472-6839
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/8F7ruIta-JA7ecm4ommy-Q50dF1FkFe4/
- kimberly.knudsen@direct.forthc.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist-Hearing Aid Fitter | 237600000X | 277-156 | WI | Yes |
Addresses
Primary practice location
1461 W Main St
Whitewater, WI 53190-1568
Mailing address
PO Box 249
Fort Atkinson, WI 53538-0249
Other practice location 1
611 Sherman Ave E
Fort Atkinson, WI 53538-1960
Phone (920) 563-6667
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41134700 | Medicaid | WI |
Other providers in Whitewater, WI
- Abigail Marie Kabara
- Michael J Kellum
- Chad Kelsey
- Kenneth R Kidd
- Renee K. Kimball
- Dannielle Koran
- Bart J Kraus
- Linda Lamont
- Rachel Lang
- Shannon Marie Langdon
All providers in Whitewater, WI · Audiologist-Hearing Aid Fitter in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 19, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.