Individual provider Active NPI

Jessica Herzberg, MD

  • Obstetrics & Gynecology Physician
  • Waukesha, WI
National Provider Identifier
1750570180
Registry record updated Mar 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
56045-20 Issued in WI
Practice address
1111 Delafield St Ste 120
Waukesha, WI 53188-3402
Phone
(262) 544-4411
Fax
(262) 650-3856
NPI assigned
Oct 22, 2007
Last updated
Mar 31, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 57013230 OH
Obstetrics & Gynecology Physician 207V00000X 56045-20 WI Primary

Addresses

Primary practice location

1111 Delafield St Ste 120
Waukesha, WI 53188-3402

Mailing address

1111 Delafield St Ste 120
Waukesha, WI 53188-3402
Phone (262) 544-4411

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
I20110816000190 WI Practitioner - Obstetrics/Gynecology 6204005820 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Medical College of Wisconsin, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Moreland OB-GYN Associates S CGroup PAC ID 0244139830, 14 clinicians

Practice addresses (Care Compare)

1111 Delafield St
Suite 311
Waukesha, WI 53188-3407
Phone (262) 544-4411

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
57013230OHMDObstetrics & Gynecology Physician
56045-20WIMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Moreland OB-GYN Associates S C Obstetrics & Gynecology CurrentSince Oct 3, 2016 Accepting new patients
Prohealth Medical Group Inc Obstetrics & Gynecology Past Accepting new patients

Locations

1500 Walnut Ridge Dr
Hartland, WI 53029
Phone (262) 513-7500

240 Maple Ave
Mukwonago, WI 53149
Phone (262) 928-1900

785 Summit Ave
Ste 203
Summit, WI 53066
Phone (262) 544-4411

1111 Delafield St
Ste 120
Waukesha, WI 53188
Phone (262) 521-9762

1111 Delafield St
Ste 311
Waukesha, WI 53188
Phone (262) 544-4411

Interoperability endpoints

  • Direct secure messaging: jherzberg5083@direct.phci.org

Organizations & group practices 2

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 3

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": "1193011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743379200000",
    "number": "1750570180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 DELAFIELD ST STE 120",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531883402",
            "telephone_number": "262-544-4411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 DELAFIELD ST STE 120",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531883402",
            "telephone_number": "262-544-4411",
            "fax_number": "262-650-3856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERZBERG",
        "first_name": "JESSICA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-22",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "57013230",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WI",
            "license": "56045-20",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waukesha, WI

Sources for this page

Verify at the official NPI Registry.