Active NPI
Jessica L Hoelzle, M.D.
- Obstetrics & Gynecology Physician
- Milwaukee, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 54542
- Practice address
- 2311 N Prospect Ave
Milwaukee, WI 53211-4445 - Phone
- (414) 319-3000
- Fax
- (414) 319-3079
- NPI assigned
- Apr 2, 2008
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 54542 | WI | Primary |
Addresses
Primary practice location
2311 N Prospect Ave
Milwaukee, WI 53211-4445
Mailing address
4425 N Port Washington Road
Csmcp Clinic Credentialing
Glendale, WI 53212-1082
Phone (414) 326-2378
Other names 1
- Jessica L Gremp
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
- Obstetrics/Gynecology
- Education
- Rush Medical College of Rush University, 2008
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
13111 N Port Washington Rd
Mequon, WI 53097-2416
Phone (262) 243-7300
13133 N Port Washington Rd
Suite G06
Mequon, WI 53097-2421
Phone (262) 243-8371
5000 W Chambers St
Milwaukee, WI 53210-1650
Phone (864) 908-3530
801 S 70TH St
West Allis, WI 53214-3147
Phone (414) 773-6600
Hospital & facility affiliations
- Ascension Columbia St Marys Hospital Milwaukee
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 54542 | WI | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Columbia St. Mary'S Hospital Milwaukee, Inc | Current | Accepting new patients | |
| Columbia St. Mary'S Hospital Milwaukee Inc | Current | Accepting new patients | |
| Obhg Wisconsin, S.C. | Obstetrics & Gynecology | Current | Accepting new patients |
| Columbia St. Mary'S Hospital Milwaukee, Inc | Past | Accepting new patients |
Locations
13133 N Port Washington Rd
Ste 118
Mequon, WI 53097
Phone (262) 243-7470
5000 W Chambers St
Milwaukee, WI 53210
Phone (414) 447-2089
2311 N Prospect Ave
Milwaukee, WI 53211
Phone (414) 319-3000
8901 W Lincoln Ave
West Allis, WI 53227
Phone (414) 328-6000
801 S 70th St
West Allis, WI 53214
Phone (414) 773-6600
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.
-
- Multi-Specialty Clinic/Center
- Milwaukee, WI
- NPI 1023064482
-
- Psychiatric Hospital Unit
- Mequon, WI
- NPI 1417600909
-
- Multi-Specialty Clinic/Center
- Mequon, WI
- NPI 1710928221
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 1871656082
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361318400000",
"number": "1548433295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4425 N PORT WASHINGTON ROAD",
"address_2": "CSMCP CLINIC CREDENTIALING",
"city": "GLENDALE",
"state": "WI",
"postal_code": "532121082",
"telephone_number": "414-326-2378",
"fax_number": "414-326-2155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2311 N PROSPECT AVE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532114445",
"telephone_number": "414-319-3000",
"fax_number": "414-319-3079"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOELZLE",
"first_name": "JESSICA",
"middle_name": "L",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-02",
"last_updated": "2013-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "WI",
"license": "54542",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JESSICA",
"last_name": "GREMP",
"middle_name": "L",
"credential": "M.D.",
"code": "1",
"type": "Former 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 Feb 20, 2013; 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.