Individual provider Active NPI

Jill A Holz, DO

  • Family Medicine Physician
  • New Berlin, WI
National Provider Identifier
1497978621
Registry record updated Aug 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
52248-21 Issued in WI
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

Updated by the provider on Aug 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1497978621MedicaidWI
P01602832OtherWIRAILROAD 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101117001415 WI Practitioner - Family Practice 3274729173 Reassigns benefits to 3 organizations

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 Hospital, Milwaukee, WI, CCN 520177

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20622CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Medical College of Wisconsin, Inc. Family Medicine Current Accepting new patients
Gundersen Lutheran Medical Center, Inc CurrentSince Dec 1, 2022 Accepting new patients
American Current Care P.a. CurrentSince Jul 6, 2021 Accepting new patients
Froedtert &the Medical College of Wisconsin Community Physicians, Inc. CurrentSince Jul 28, 2023 Accepting new patients
Gundersen Lutheran Medical Center Inc Current Accepting new patients
Gundersen Lutheran Medical Center, Inc CurrentSince Dec 1, 2022 Accepting new patients
American Current Care PA CurrentSince Jul 6, 2021 Accepting new patients
Froedtert &the Medical College of Wisconsin Community Physicians, Inc. CurrentSince Jul 28, 2023 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

  • Direct secure messaging: jholz752237@direct.gundersenhealth.org
  • Direct secure messaging: 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.