Active NPI
Jill A Holz, DO
- Family Medicine Physician
- New Berlin, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 52248-21
- Practice address
- 4805 S Moorland Rd
New Berlin, WI 53151-7401 - Phone
- (262) 798-7200
- NPI assigned
- Apr 10, 2007
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 52248-21 | WI | Primary |
Addresses
Primary practice location
4805 S Moorland Rd
New Berlin, WI 53151-7401
Mailing address
4805 S Moorland Rd
New Berlin, WI 53151-7401
Phone (262) 798-7200
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497978621 | Medicaid | WI | |
| P01602832 | Other | WI | RAILROAD MEDICARE |
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
- Family Practice
- Education
- Des Moines University of Osteopathic Medicine and Health Sciences, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1155 N Mayfair Rd
Wauwatosa, WI 53226-3462
Phone (414) 955-5990
1700 W Paradise Dr
West Bend, WI 53095-9795
Phone (262) 334-3451
4805 S Moorland Rd
New Berlin, WI 53151-7401
Phone (262) 798-7200
W129N7055 Northfield Dr
Menomonee Falls, WI 53051-0538
Phone (262) 253-5400
W168N11237 Western Ave
Germantown, WI 53022-3239
Phone (262) 253-5060
Hospital & facility affiliations
- Froedtert Memorial Lutheran Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20622 | CA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Medical College of Wisconsin, Inc. | Family Medicine | Current | Accepting new patients |
| Gundersen Lutheran Medical Center, Inc | Current | Accepting new patients | |
| American Current Care P.a. | Current | Accepting new patients | |
| Froedtert &the Medical College of Wisconsin Community Physicians, Inc. | Current | Accepting new patients | |
| Gundersen Lutheran Medical Center Inc | Current | Accepting new patients | |
| Gundersen Lutheran Medical Center, Inc | Current | Accepting new patients | |
| American Current Care PA | Current | Accepting new patients | |
| Froedtert &the Medical College of Wisconsin Community Physicians, Inc. | Current | Accepting new patients | |
| American Current Care P.a. | Current | Accepting new patients | |
| American Current Care PA | Current | Accepting new patients |
Locations
2455 N 124th St
Brookfield, WI 53005
Phone (262) 782-9326
W168N11237 Western Ave
Germantown, WI 53022
Phone (262) 253-5060
1910 South Ave
La Crosse, WI 54601
Phone (608) 775-2287
358 Junction Rd
Madison, WI 53717
Phone (608) 829-1888
N74W12501 Leatherwood Ct
Menomonee Falls, WI 53051
Phone (414) 454-4744
215 N 35th St
Milwaukee, WI 53208
Phone (414) 931-7600
1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056
4805 S Moorland Rd
New Berlin, WI 53151
Phone (262) 798-7200
3111 Gundersen Dr
Onalaska, WI 54650
Phone (608) 775-8100
1155 N Mayfair Rd
Wauwatosa, WI 53226
Phone (414) 955-5990
Interoperability endpoints
- jholz752237@direct.gundersenhealth.org
- jholzdo272253@direct.froedtert.com
Organizations & group practices 10
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.
-
- Internal Medicine Physician
- Menomonee Falls, WI
- NPI 1568787448
-
- Urgent Care Clinic/Center
- Racine, WI
- NPI 1477730356
-
- Clinic/Center
- La Crosse, WI
- NPI 1225873458
-
- Urgent Care Clinic/Center
- Milwaukee, WI
- NPI 1548503436
-
- Durable Medical Equipment & Medical Supplies
- Wauwatosa, WI
- NPI 1154947224
-
- Clinic/Center
- Onalaska, WI
- NPI 1225372923
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Onalaska, WI
- NPI 1871837567
-
- Internal Medicine Physician
- Milwaukee, WI
- NPI 1699720086
Family Medicine
-
- Urgent Care Clinic/Center
- Beaumont, TX
- NPI 1376356568
-
- Health Service Clinic/Center
- Addison, TX
- NPI 1508044587
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Milwaukee, WI
- NPI 1255334173
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692316800000",
"number": "1497978621",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4805 S MOORLAND RD",
"city": "NEW BERLIN",
"state": "WI",
"postal_code": "531517401",
"telephone_number": "262-798-7200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4805 S MOORLAND RD",
"city": "NEW BERLIN",
"state": "WI",
"postal_code": "531517401",
"telephone_number": "262-798-7200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLZ",
"first_name": "JILL",
"middle_name": "A",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-10",
"last_updated": "2023-08-18",
"certification_date": "2023-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WI",
"license": "52248-21",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1497978621",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P01602832",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Berlin, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2023; 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.