Individual provider Active NPI

Jessica Anne Kraker, MD

  • Ophthalmology Physician
  • Milwaukee, WI
National Provider Identifier
1548853443
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
87435-020 Issued in WI
Practice address
925 N 87TH St
Milwaukee, WI 53226-4812
Phone
(414) 955-2020
Fax
(414) 805-4818
NPI assigned
Feb 11, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X DR.0074905 CO
Ophthalmology Physician 207W00000X 87435-020 WI Primary
Ophthalmology Physician 207W00000X 31519 MN
Ophthalmology Physician 207W00000X 72127 MN
Retina Specialist (Ophthalmology) Physician 207WX0107X DR.0074905 CO

Addresses

Primary practice location

925 N 87TH St
Milwaukee, WI 53226-4812

Mailing address

925 N 87TH St
Milwaukee, WI 53226-4812
Phone (414) 955-2020

Other practice location 1

1675 Aurora Ct
Aurora, CO 80045-2517
Phone (720) 848-0000

Other practice location 2

777 Bannock St
Denver, CO 80204-4597
Phone (303) 436-4949

Other identifiers 1

IdentifierTypeStateIssuer
1548853443MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, CO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220805001911 MN Practitioner - Ophthalmology 8224439484 Reassigns benefits to 1 organization
I20250523000316 CO Practitioner - Ophthalmology 8224439484 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Medical College of Wisconsin, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Physicians IncorporatedGroup PAC ID 3476465667, 3,189 clinicians
Mayo ClinicGroup PAC ID 6507778255, 4,829 clinicians
Denver Health and Hospital AuthorityGroup PAC ID 4688583578, 830 clinicians

Practice addresses (Care Compare)

1675 Aurora CT
Aurora, CO 80045-2517
Phone (720) 848-0000

200 1St St SW
Rochester, MN 55905-0001
Phone (507) 284-2511

777 Bannock St
Denver, CO 80204-4507
Phone (303) 436-6000

Hospital & facility affiliations

  • University of Colorado Hospital Authority Hospital, Aurora, CO, CCN 060024
  • Mayo Clinic Hospital Rochester Hospital, Rochester, MN, CCN 240010

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery15

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
31519MNMDClinical Social Worker
DR.0074905COMDOphthalmology Physician
72127MNMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Physicians Incorporated Ophthalmology Current Accepting new patients
University Physicians, Incorporated CurrentSince Jun 1, 2025 Accepting new patients
Mayo Clinic CurrentSince Jul 14, 2022 Accepting new patients
Denver Health and Hospital Authority CurrentSince Jun 1, 2025 Accepting new patients
Mayo Clinic Current Accepting new patients
Denver Health and Hospital Authority CurrentSince Jun 1, 2025 Accepting new patients
Mayo Clinic CurrentSince Jul 14, 2022 Accepting new patients
University Physicians, Incorporated CurrentSince Jun 1, 2025 Accepting new patients
University Physicians, Incorporated Past Accepting new patients
Denver Health and Hospital Authority Past Accepting new patients

Locations

13123 E 16th Ave
Aurora, CO 80045
Phone (720) 777-3846

12605 E 16th Ave
Aurora, CO 80045
Phone (720) 848-0006

1675 Aurora Ct
Ste F731
Aurora, CO 80045
Phone (720) 848-2020

1675 Aurora Ct
Aurora, CO 80045
Phone (720) 748-2020

777 Bannock St
Ste MC3450
Denver, CO 80204

777 Bannock St
Denver, CO 80204

Dept 1061
Denver, CO 80256

200 1st St SW
Rochester, MN 55905
Phone (507) 266-4850

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 28

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 28

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1613001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1548853443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 N 87TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532264812",
            "telephone_number": "414-955-2020",
            "fax_number": "414-805-4818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 N 87TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532264812",
            "telephone_number": "414-955-2020",
            "fax_number": "414-805-4818"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1675 Aurora Ct",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800452517",
            "country_code": "US",
            "telephone_number": "720-848-0000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "777 Bannock St",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802044597",
            "country_code": "US",
            "telephone_number": "303-436-4949",
            "fax_number": "303-602-4560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRAKER",
        "first_name": "JESSICA",
        "middle_name": "ANNE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-11",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CO",
            "license": "DR.0074905",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WI",
            "license": "87435-020",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MN",
            "license": "31519",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MN",
            "license": "72127",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "CO",
            "license": "DR.0074905",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1548853443",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.