Active NPI
Heather Marie Wells-Holtey, MD
- Dermatology Physician
- Milwaukee, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 41524
- Practice address
- 2350 N. Lake Drive
Suite 300
Milwaukee, WI 53211-4528 - Phone
- (414) 298-7100
- Fax
- (414) 298-7101
- NPI assigned
- Nov 8, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 41524 | WI | Primary |
Addresses
Primary practice location
2350 N. Lake Drive
Suite 300
Milwaukee, WI 53211-4528
Mailing address
788 N Jefferson St
Suite 300 /Attn Kaaren Butzen
Milwaukee, WI 53202-3718
Phone (414) 227-8950
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447320403 | Medicaid | WI |
Other names 1
- Heather Marie Wells-Holtey
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- University of Wisconsin School of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2350 N Lake Dr
Suite 300
Milwaukee, WI 53211-4528
Phone (414) 298-7100
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 530 |
| Removal or shaving of skin growth | 30 |
| Skin biopsy | 124 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41524 | WI | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Madison Medical Affiliates, Inc. | Current | Accepting new patients | |
| Columbia St. Mary'S Hospital Milwaukee, Inc | Current | Accepting new patients | |
| Columbia St. Mary'S Hospital Milwaukee Inc | Current | Accepting new patients | |
| Columbia St. Mary'S Hospital Milwaukee, Inc | Current | Accepting new patients |
Locations
7423 Solutions Ctr
Chicago, IL 60677
6900 N Port Washington Rd
Glendale, WI 53217
Phone (414) 270-8100
13133 N Port Washington Rd
Ste G01
Mequon, WI 53097
Phone (262) 243-2500
12831 N Port Washington Rd
Mequon, WI 53097
Phone (262) 643-1300
788 N Jefferson St
Ste 300
Milwaukee, WI 53202
Phone (414) 272-8950
9252 N Green Bay Rd
Fl 2
Milwaukee, WI 53209
Phone (414) 270-8150
2350 N Lake Dr
Ste 300
Milwaukee, WI 53211
Phone (414) 298-7100
2311 N Prospect Ave
Milwaukee, WI 53211
Phone (414) 319-3000
788 N Jefferson St
Ste 401
Milwaukee, WI 53202
Phone (414) 226-4020
N14W23900 Stone Ridge Dr
Waukesha, WI 53188
Phone (262) 549-3030
801 S 70th St
West Allis, WI 53214
Phone (414) 773-6600
Interoperability endpoints
- https://api.platform.athenahealth.com/11299/brand/1/csg/1/fhir/r4
Organizations & group practices 4
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488326400000",
"number": "1447320403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "788 N JEFFERSON ST",
"address_2": "SUITE 300 /ATTN KAAREN BUTZEN",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532023718",
"telephone_number": "414-227-8950",
"fax_number": "414-272-0859"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2350 N. LAKE DRIVE",
"address_2": "SUITE 300",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532114528",
"telephone_number": "414-298-7100",
"fax_number": "414-298-7101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELLS-HOLTEY",
"first_name": "HEATHER",
"middle_name": "MARIE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-08",
"last_updated": "2017-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "WI",
"license": "41524",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1447320403",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "HEATHER",
"last_name": "WELLS-HOLTEY",
"middle_name": "MARIE",
"credential": "MD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2017; 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.
- 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.