Individual provider Active NPI

Jenna Rae Holentunder, PA-C

  • Physician Assistant
  • Wauwatosa, WI
National Provider Identifier
1508522723
Registry record updated Jul 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5702-23 Issued in WI
Practice address
3077 N Mayfair Rd Ste 305
Wauwatosa, WI 53222-4305
Phone
(414) 384-6700
Fax
(414) 727-1058
NPI assigned
Nov 11, 2021
Last updated
Jul 15, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistant 363A00000X 5702-23 WI Primary

Addresses

Primary practice location

3077 N Mayfair Rd Ste 305
Wauwatosa, WI 53222-4305

Mailing address

3077 N Mayfair Rd Ste 305
Wauwatosa, WI 53222-4305

Other practice location 1

3111 W Rawson Ave Ste 200205
Franklin, WI 53132-9417
Phone (414) 384-6700

Other practice location 2

9969 S 27th St Ste 1100
Franklin, WI 53132-9533
Phone (414) 384-6700

Other names 1

  • Jenna Brzeski Former name

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
I20220623001374 WI Practitioner - Physician Assistant 0446639322 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopedic Surgeons of Wisconsin SCGroup PAC ID 5294727152, 61 clinicians

Practice addresses (Care Compare)

10101 S 27TH St
Franklin, WI 53132-7209
Phone (414) 384-6700

1120 Main St
Union Grove, WI 53182-1328
Phone (262) 878-4424

13950 W Capitol Dr
Brookfield, WI 53005-2441
Phone (414) 302-5400

201 N Mayfair Rd
Wauwatosa, WI 53226-4216

3111 W Rawson Ave
Suite 200
Franklin, WI 53132-8890
Phone (414) 384-6700

3801 Spring St
Mount Pleasant, WI 53405-1667
Phone (262) 687-4011

3807 Spring St
Mount Pleasant, WI 53405-1667
Phone (262) 687-8300

3809 Spring St
Mount Pleasant, WI 53405-1667
Phone (262) 687-5000

3811 Spring St
Mount Pleasant, WI 53405-1667

3821 Spring St
Mount Pleasant, WI 53405-1667
Phone (262) 687-8460

7095 S Ballpark Dr
Suite 100
Franklin, WI 53132-6908
Phone (414) 817-6620

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.61 of 100Reported as group
Quality
73.65
Promoting interoperability
87
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5702-23WIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Orthopedic Specialty Hospital, LLC CurrentSince May 1, 2023 Accepting new patients
Midwest Orthopedic Specialty Hospital, LLC CurrentSince May 1, 2023 Accepting new patients
Medical Diagnostic Imaging LLC PastSince Jul 16, 2015 Accepting new patients

Locations

3111 W Rawson Ave
Ste 215
Franklin, WI 53132
Phone (414) 761-0727

7095 S Ballpark Dr
Unit 100
Franklin, WI 53132
Phone (414) 817-6620

Interoperability endpoints

  • Direct secure messaging: jenna.brzeski.1@32957.direct.athenahealth.com

Organizations & group practices 6

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.

Hospital & facility affiliations 4

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": "1636588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784073600000",
    "number": "1508522723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3077 N MAYFAIR RD STE 305",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532224305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3077 N MAYFAIR RD STE 305",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532224305",
            "telephone_number": "414-384-6700",
            "fax_number": "414-727-1058"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3111 W Rawson Ave Ste 200205",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "WI",
            "postal_code": "531329417",
            "country_code": "US",
            "telephone_number": "414-384-6700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9969 S 27th St Ste 1100",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "WI",
            "postal_code": "531329533",
            "country_code": "US",
            "telephone_number": "414-384-6700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLENTUNDER",
        "first_name": "JENNA",
        "middle_name": "RAE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-11",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "5702-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNA",
            "last_name": "BRZESKI",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wauwatosa, WI

Sources for this page

Verify at the official NPI Registry.