Individual provider Active NPI

Holly Marie Kempers, APNP

  • Nurse Practitioner
  • Port Washington, WI
National Provider Identifier
1477856581
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4257-33 Issued in WI
Practice address
115 N Sweetwater Blvd
Port Washington, WI 53074-2657
Phone
(920) 476-6400
NPI assigned
Dec 10, 2010
Last updated
Sep 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4257-33 WI Primary

Addresses

Primary practice location

115 N Sweetwater Blvd
Port Washington, WI 53074-2657

Mailing address

115 N Sweetwater Blvd
Port Washington, WI 53074-2657
Phone (920) 476-6400

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131219001587 WI Practitioner - Nurse Practitioner 2860629888 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

115 N Sweetwater Blvd
Port Washington, WI 53074-2657
Phone (920) 476-6300

W168N11237 Western Ave
Germantown, WI 53022-3239
Phone (262) 253-5060

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4257WIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Froedtert &the Medical College of Wisconsin Community Physicians, Inc. CurrentSince Aug 23, 2024 Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Mar 25, 2019 Accepting new patients
Froedtert &the Medical College of Wisconsin Community Physicians, Inc. CurrentSince Aug 23, 2024 Accepting new patients
The Medical College of Wisconsin, Inc. Current Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Mar 25, 2019 Accepting new patients

Locations

705 S University Ave
Beaver Dam, WI 53916
Phone (920) 885-6090

1580 W James St
Columbus, WI 53925
Phone (920) 345-1306

W168N11237 Western Ave
Germantown, WI 53022
Phone (262) 253-5060

2300 Western Ave
Manitowoc, WI 54220
Phone (920) 320-2011

N74W12501 Leatherwood Ct
Menomonee Falls, WI 53051
Phone (414) 454-4744

115 N Sweetwater Blvd
Port Washington, WI 53074
Phone (920) 476-6300

180 Gateway Dr
Waupun, WI 53963
Phone (920) 345-1306

1155 N Mayfair Rd
Wauwatosa, WI 53226
Phone (414) 955-5990

Interoperability endpoints

  • Direct secure messaging: hkempers155473@direct.froedtert.com

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": "1291939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1477856581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 N SWEETWATER BLVD",
            "city": "PORT WASHINGTON",
            "state": "WI",
            "postal_code": "530742657",
            "telephone_number": "920-476-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 N SWEETWATER BLVD",
            "city": "PORT WASHINGTON",
            "state": "WI",
            "postal_code": "530742657",
            "telephone_number": "920-476-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEMPERS",
        "first_name": "HOLLY",
        "middle_name": "MARIE",
        "credential": "APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-10",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "4257-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Washington, WI

Sources for this page

Verify at the official NPI Registry.