Individual provider Active NPI

Jessica L Holland, CRNA

  • Certified Registered Nurse Anesthetist
  • Kenosha, WI
National Provider Identifier
1225417488
Registry record updated Nov 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
6405 Issued in WI
Practice address
10400 75TH St
Kenosha, WI 53142
Phone
(262) 942-5600
NPI assigned
May 21, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 6405 WI Primary

Addresses

Primary practice location

10400 75TH St
Kenosha, WI 53142

Mailing address

10400 75TH St
Kenosha, WI 53142-7884
Phone (262) 942-5600

Other names 1

  • Jessica Cascone Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jholland199713@direct.myadvocateaurora.org
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150707000942 WI Practitioner - Certified Registered Nurse Anesthetist (Crna) 2961714845 Reassigns benefits to 8 organizations
I20260521003244 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 2961714845 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vituity-Wisconsin Anesthesia SCGroup PAC ID 2163968819, 144 clinicians
Zen Anesthesia LLCGroup PAC ID 2567827108, 11 clinicians
Anesthesia Partners Services SCGroup PAC ID 4082832514, 37 clinicians
Fort Healthcare IncGroup PAC ID 0840189718, 159 clinicians
Capital Anesthesia Solutions of Florida II, LLCGroup PAC ID 7911323720, 327 clinicians

Practice addresses (Care Compare)

10101 S 27TH St
Franklin, WI 53132-7209
Phone (414) 325-4700

10148 S 27TH St
Oak Creek, WI 53154-5528
Phone (414) 377-9000

13111 N Port Washington Rd
Mequon, WI 53097-2416
Phone (262) 243-7300

19333 W N Ave
Brookfield, WI 53045-4132
Phone (262) 785-2000

2801 W Kinnickinnic River Pkwy
Suite 1080
Milwaukee, WI 53215-3689
Phone (414) 908-6500

611 Sherman Ave E
Fort Atkinson, WI 53538-1960
Phone (920) 568-1000

8300 Collier Blvd
Naples, FL 34114-3549
Phone (239) 354-6000

9555 76TH St
Pleasant Prairie, WI 53158-1984
Phone (262) 577-8000

Hospital & facility affiliations

  • Fort Memorial Hospital Hospital, Fort Atkinson, WI, CCN 520071
  • Sacred Heart Hospital Hospital, Pensacola, FL, CCN 100025
  • Ascension SE Wisconsin Hospital Hospital, Milwaukee, WI, CCN 520136

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
6405WIMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Zen Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2023 Accepting new patients
Vituity-Wisconsin Anesthesia SC Current Accepting new patients
Vituity-Wisconsin Anesthesia SC CurrentSince Dec 9, 2024 Accepting new patients
Fort Healthcare Inc Current Accepting new patients
Brookfield Anesthesiologists, S.C. CurrentSince Apr 1, 2016 Accepting new patients
Racine Anesthesia Services, LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2015 Accepting new patients
Divine Savior Healthcare, Inc. CurrentSince Mar 1, 2022 Accepting new patients
Fort Healthcare, Inc. CurrentSince Mar 18, 2024 Accepting new patients
Aurora Medical Group, Inc. Nurse Anesthetist, Certified Registered Current Accepting new patients
Divine Savior Healthcare, Inc. CurrentSince Mar 1, 2022 Accepting new patients
Vituity-Wisconsin Anesthesia SC CurrentSince Dec 9, 2024 Accepting new patients
Anesthesia Partners Services, S.C. CurrentSince Apr 30, 2018 Accepting new patients
Aurora Medical Group, Inc. CurrentSince Jul 23, 2018 Accepting new patients
Fort Healthcare Inc CurrentSince Mar 18, 2024 Accepting new patients
Aurora Medical Group, Inc. CurrentSince Jul 23, 2018 Accepting new patients
Chad Novasic PT LTD PastSince Apr 1, 2016 Accepting new patients
Laboratory Corportation of America Holdings Past Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

707 S University Ave
Beaver Dam, WI 53916
Phone (920) 887-4006

19333 W North Ave
Brookfield, WI 53045
Phone (262) 785-2000

611 Sherman Ave E
Fort Atkinson, WI 53538
Phone (920) 563-6667

7401 104th Ave
#100
Kenosha, WI 53142
Phone (262) 697-1006

10400 75th St
Kenosha, WI 53142
Phone (262) 697-7000

7401 104th Ave
Kenosha, WI 53142
Phone (262) 697-1006

2301 N Lake Dr
Milwaukee, WI 53211
Phone (414) 270-4932

2801 W Kinnickinnic River Pkwy
Ste 1080
Milwaukee, WI 53215
Phone (414) 908-6506

1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056

5000 W Chambers St
Milwaukee, WI 53210
Phone (414) 447-2089

88948 Box
Milwaukee, WI 53288

3801 Spring St
Mount Pleasant, WI 53405
Phone (262) 636-4011

10148 S 27th St
Oak Creek, WI 53154
Phone (262) 208-4676

9555 76th St
Pleasant Prairie, WI 53158
Phone (262) 577-8000

2817 New Pinery Rd
Portage, WI 53901
Phone (608) 745-4598

13111 N Port Washington Rd
Thiensville, WI 53097
Phone (262) 243-7300

2424 S 90th St
Ste 418
West Allis, WI 53227
Phone (262) 970-7825

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/8F7ruIta-JA7ecm4ommy-Q50dF1FkFe4/
  • Direct secure messaging: jholland199713@direct.myadvocateaurora.org

Organizations & group practices 18

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

View all 18

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1432166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638144000000",
    "number": "1225417488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10400 75TH ST",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531427884",
            "telephone_number": "262-942-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10400 75TH ST",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "53142",
            "telephone_number": "262-942-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLAND",
        "first_name": "JESSICA",
        "middle_name": "L",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-21",
        "last_updated": "2021-11-29",
        "certification_date": "2021-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WI",
            "license": "6405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jholland199713@direct.myadvocateaurora.org",
            "affiliation": "N",
            "address_1": "10400 75th St",
            "city": "Kenosha",
            "state": "WI",
            "country_code": "US",
            "postal_code": "53142",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "10400 75th St",
            "city": "Kenosha",
            "state": "WI",
            "country_code": "US",
            "postal_code": "53142",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "CASCONE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kenosha, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.