Active NPI
Jillian Marie Bodden Hoenisch, DNP, AGPCNP-BC, APNP
- Primary Care Nurse Practitioner
- Madison, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 99379-33
- Practice address
- 5249 E Terrace Dr
Madison, WI 53718-8339 - Phone
- (608) 265-1295
- NPI assigned
- Jul 15, 2019
- 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 |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 99379-33 | WI | Primary |
Addresses
Primary practice location
5249 E Terrace Dr
Madison, WI 53718-8339
Mailing address
4348 McConnell St
Fitchburg, WI 53711-5928
Phone (815) 382-7044
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9379-33 | Other | WI | STATE OF WI DEPARTMENT OF SAFETY AND PROFESSIONAL SERVICES BOARD OF NURSING |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jbodden867487@direct.uwhealth.org |
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
- University of Wisconsin School of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
5249 E Terrace Dr
Madison, WI 53718-8339
Phone (608) 265-1295
Hospital & facility affiliations
- Agrace Hospicecare
- University of Wi Hospitals & Clinics Authority
- Unitypoint Health - Meriter
- Uw Health
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.32 of 100
- Quality
- 87.78
- Promoting interoperability
- 77
- Improvement activities
- 40
- Cost
- 75.8
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 99379-33 | WI | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Wisconsin Medical Foundation, Inc | Current | Accepting new patients | |
| University of Wisconsin Medical Foundation, Inc | Current | Accepting new patients | |
| University of Wisconsin Medical Foundation Inc | Past | Accepting new patients |
Locations
5543 E Cheryl Pkwy
Fitchburg, WI 53711
Phone (608) 263-7740
5249 E Terrace Dr
Madison, WI 53718
Phone (608) 222-9777
600 Highland Ave
Madison, WI 53792
Phone (608) 263-0325
4621 Eastpark Blvd
Madison, WI 53718
Phone (608) 914-0100
7974 Uw Health Ct
Middleton, WI 53562
Phone (608) 829-5270
Interoperability endpoints
- jbodden867487@direct.uwhealth.org
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.
-
- Multi-Specialty Clinic/Center
- Middleton, WI
- NPI 1598784555
-
- Health Educator
- Madison, WI
- NPI 1487414082
-
- Durable Medical Equipment & Medical Supplies
- Cross Plains, WI
- NPI 1174583363
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- Fitchburg, WI
- NPI 1861503534
-
- General Acute Care Hospital
- Madison, WI
- NPI 1114920048
-
- General Acute Care Hospital
- Madison, WI
- NPI 1922043744
-
- General Acute Care Hospital
- Rockford, IL
- NPI 1760542732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611100800000",
"number": "1871145367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4348 MCCONNELL ST",
"city": "FITCHBURG",
"state": "WI",
"postal_code": "537115928",
"telephone_number": "815-382-7044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5249 E TERRACE DR",
"city": "MADISON",
"state": "WI",
"postal_code": "537188339",
"telephone_number": "608-265-1295"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BODDEN HOENISCH",
"first_name": "JILLIAN",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "DNP, AGPCNP-BC, APNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-15",
"last_updated": "2021-01-20",
"certification_date": "2021-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "WI",
"license": "99379-33",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF WI DEPARTMENT OF SAFETY AND PROFESSIONAL SERVICES BOARD OF NURSING",
"identifier": "9379-33",
"state": "WI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jbodden867487@direct.uwhealth.org",
"affiliation": "N",
"address_1": "5249 E Terrace Dr",
"city": "Madison",
"state": "WI",
"country_code": "US",
"postal_code": "537188339",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2021; 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.