Active NPI
Jill P Wohlfeil, MD
- Gynecology Physician
- Oconomowoc, WI
National Provider Identifier
1386617447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- 34188-20
- Practice address
- W359N5002 Brown St
Suite 208
Oconomowoc, WI 53066-3366 - Phone
- (262) 560-1920
- Fax
- (262) 567-4736
- NPI assigned
- Feb 9, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | 34188-20 | WI | Primary |
Addresses
Primary practice location
W359N5002 Brown St
Suite 208
Oconomowoc, WI 53066-3366
Mailing address
4555 W Schroeder Dr
Suite 170
Milwaukee, WI 53223-1496
Phone (414) 365-3210
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386617447 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Apr 1, 2026 through Apr 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34188-20 | WI | MD | Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reneu Womens Health & Medispa LTD | Gynecology | Current | Accepting new patients |
Locations
4555 W Schroeder Dr
Ste 170
Milwaukee, WI 53223
W359N5002 Brown St
Ste 208
Oconomowoc, WI 53066
Phone (262) 560-1920
Organizations & group practices 1
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.
-
- Gynecology Physician
- Oconomowoc, WI
- NPI 1922292549
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372723200000",
"number": "1386617447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4555 W SCHROEDER DR",
"address_2": "SUITE 170",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532231496",
"telephone_number": "414-365-3210",
"fax_number": "414-365-3225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "W359N5002 BROWN ST",
"address_2": "SUITE 208",
"city": "OCONOMOWOC",
"state": "WI",
"postal_code": "530663366",
"telephone_number": "262-560-1920",
"fax_number": "262-567-4736"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOHLFEIL",
"first_name": "JILL",
"middle_name": "P",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-02-09",
"last_updated": "2013-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "WI",
"license": "34188-20",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1386617447",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
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- Ashley Wolfman, PTA
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.