Jessica Lynn Kelderman, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

55339-020 Issued in WI

Practice address

5315 Wall St Ste 260
Madison, WI 53718-7937

Phone

(608) 807-1600

Fax

(608) 467-1425

NPI assigned

Apr 23, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• American Current Care PA

  • Urgent Care Clinic/Center
  • Racine, WI
  • NPI 1477730356
  Medicare reassignment NPD
• Iah of Wisconsin, PLLC

  • Family Medicine Physician
  • Brookfield, WI
  • NPI 1861898090
  Medicare reassignment NPD
• Vpa PC

  • Family Medicine Physician
  • Brookfield, WI
  • NPI 1659484657

  General Practice

  Medicare reassignment NPD
• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  WI

  Medicare reassignment NPD
• Theoria Medical

  • Internal Medicine Physician
  • Novi, MI
  • NPI 1609362375

  WI

  Medicare reassignment NPD
• Vpa PC

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Brookfield, WI
  • NPI 1376871947
  NPD
• American Current Care P.a.

  • Health Service Clinic/Center
  • Addison, TX
  • NPI 1508044587
  NPD
• Vpa PC

  • Family Medicine Physician
  • Brentwood, TN
  • NPI 1578363362

  General Practice

  NPD

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

{
    "created_epoch": "1240444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1588808489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N5611 COUNTY ROAD A",
            "city": "LAKE MILLS",
            "state": "WI",
            "postal_code": "535519704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5315 WALL ST STE 260",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537187937",
            "telephone_number": "608-807-1600",
            "fax_number": "608-467-1425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELDERMAN",
        "first_name": "JESSICA",
        "middle_name": "LYNN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-23",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "WI",
            "license": "55339-020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shellie Lynn Keisling
• Alyssa Keister
• Mitchell Kenneth Keith, MD
• Joseph Kevin Kelbel, DC
• Frederick Kelcz, MD PHD
• Nicole Marie Kell, PT, DPT
• Bryony Kelleher
• Erin Frances Kelleher
• Amanda Marie Keller, OD
• Anne D Keller, LCSW

• General Practice Physician in Madison, WI
• Providers in Madison, WI by specialty
• General Practice Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.