Active NPI
Jessica F Goelz, APNP
- Nurse Practitioner
- Milwaukee, WI
National Provider Identifier
1760805378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 5659-33
- Practice address
- 2901 W Kinnickinnic River Pkwy Ste 413
Milwaukee, WI 53215-3660 - Phone
- (414) 383-7744
- Fax
- (414) 383-8089
- NPI assigned
- Feb 3, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 5659-33 | WI | Primary |
Addresses
Primary practice location
2901 W Kinnickinnic River Pkwy Ste 413
Milwaukee, WI 53215-3660
Mailing address
2514 S 102ND St
Suite 120
West Allis, WI 53227-2142
Phone (414) 777-5200
Other names 1
- Jessica F Johnson
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2901 W Kinnickinnic River Pkwy
Milwaukee, WI 53215-3660
Phone (414) 259-8917
Hospital & facility affiliations
- Aurora St Lukes Medical Center
- Ascension SE Wisconsin Hospital
- Community Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.73 of 100
- Quality
- 65.3
- Promoting interoperability
- 65
- Improvement activities
- 40
- Cost
- 82.4
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Milwaukee Nephrologists, S.C. | Current | Accepting new patients | |
| Garfield Dialysis Venture LLC | Past | Accepting new patients | |
| My Health Clinic Corp | Past | Accepting new patients |
Locations
5650 N Green Bay Ave
Ste 210
Glendale, WI 53209
Phone (414) 247-9530
2901 W Kinnickinnic River Pkwy
Ste 413
Milwaukee, WI 53215
Phone (414) 259-8917
601 N 99th St
Ste 302
Wauwatosa, WI 53226
Phone (414) 431-2186
2514 S 102nd St
Ste 120
West Allis, WI 53227
Interoperability endpoints
- https://api.platform.athenahealth.com/26204/brand/1/csg/1/fhir/r4
- jessica.goelz@milwaukeenephrologists.directbygreenway.com
- jgoelz43409@direct.davitaphysiciansolutions.com
- jgoelz815961@direct.froedtert.com
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71975
Organizations & group practices 3
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.
-
- Nephrology Physician
- Milwaukee, WI
- NPI 1982763405
-
- Clinic/Center
- Milwaukee, WI
- NPI 1043491194
-
- Multi-Specialty Clinic/Center
- Milwaukee, WI
- NPI 1346882693
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Milwaukee, WI
- NPI 1427007384
-
- Rehabilitation Hospital Unit
- Brookfield, WI
- NPI 1861417362
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Cudahy, WI
- NPI 1235355983
Hospital
-
- General Acute Care Hospital
- Milwaukee, WI
- NPI 1861447179
-
- General Acute Care Hospital
- Menomonee Falls, WI
- NPI 1609822881
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575849600000",
"number": "1760805378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2514 S 102ND ST",
"address_2": "SUITE 120",
"city": "WEST ALLIS",
"state": "WI",
"postal_code": "532272142",
"telephone_number": "414-777-5200",
"fax_number": "414-777-5210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2901 W KINNICKINNIC RIVER PKWY STE 413",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532153660",
"telephone_number": "414-383-7744",
"fax_number": "414-383-8089"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOELZ",
"first_name": "JESSICA",
"middle_name": "F",
"credential": "APNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-02-03",
"last_updated": "2019-12-09",
"certification_date": "2019-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WI",
"license": "5659-33",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JESSICA",
"last_name": "JOHNSON",
"middle_name": "F",
"credential": "APNP",
"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 Dec 9, 2019; 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.