DR. DONNA J HEMPHILL MD
NPI 1033226642
Obstetrics & Gynecology in Mount Pleasant, WI

Active since August 23, 2006PECOS EnrolledAccepts Medicare Assignment
13250 WASHINGTON AVE, MOUNT PLEASANT, WI 53177(888) 720-2012 Get Directions Write a Review

NPPES record last updated: August 26, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 12, 2022, Dec 2, 2021, Sep 15, 2021 and 4 more (7 updates tracked since 2017).

About Dr. Donna J Hemphill Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DONNA J HEMPHILL MD (NPI 1033226642) is an individual obstetrics & gynecology provider in Mount Pleasant, Wisconsin, licensed in Wisconsin (38513) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Aurora Medical Center Kenosha, and maintains a secondary practice location in Hinsdale.

NPPES Registry Identity

NPI1033226642
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. DONNA J HEMPHILLCredential: MD
Location Address13250 WASHINGTON AVEMount Pleasant, WI 53177-1516
Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250
Sole ProprietorNo
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 1995
Enumeration DateAugust 23, 2006
Last NPPES UpdateAugust 26, 20247 updates tracked since enumeration
NPPES CertifiedAugust 26, 2024
NPI 1033226642 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses Licensed in WI · 38513 Licensed in IL · 036-100641
Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

13250 WASHINGTON AVE, Mount Pleasant, WI 53177

Other Names 1

Other Name (5)Donna Jeanette Hemphill M.d.

Secondary Practice Location 1

Location 1911 N Elm St Ste 115Hinsdale, IL 60521-3640 · Phone (630) 734-2634

Other Identifiers 1

Medicaid34594100WI

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Donna J Hemphill Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8426957614
PECOS Enrollment IDI20041209000831
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Aurora Medical Center Kenosha

Acute Care Hospitals · Kenosha, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520189
Location10400 75th StKenosha, WI 53142 · Kenosha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53177 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Anesthetist, Certified Registered
13250 WASHINGTON AVE
MOUNT PLEASANT, WI 53177
Registered Nurse
13250 WASHINGTON AVE
MT PLEASANT, WI 53177
Emergency Medicine
13250 WASHINGTON AVE
MOUNT PLEASANT, WI 53177
Surgery
13250 WASHINGTON AVE
MOUNT PLEASANT, WI 53177
Physician Assistant
13250 WASHINGTON AVE
MOUNT PLEASANT, WI 53177
Nurse Anesthetist, Certified Registered
13250 WASHINGTON AVE
MOUNT PLEASANT, WI 53177
Emergency Medicine
13250 WASHINGTON AVE
MOUNT PLEASANT, WI 53177
Nurse Practitioner
13250 WASHINGTON AVE
MOUNT PLEASANT, WI 53177

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Donna Hemphill's NPI number?

The NPI number for Donna Hemphill is 1033226642. It was assigned to this individual provider in the NPPES registry on August 23, 2006. The provider is also known as Donna Jeanette Hemphill M.D..

Where is Donna Hemphill located?

Donna Hemphill practices at 13250 Washington Ave, Mount Pleasant, WI 53177. The listed phone number is (888) 720-2012.

What is Donna Hemphill's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Donna Hemphill enrolled in Medicare?

Yes. Donna Hemphill is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Donna Hemphill accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Quartz and 1 other insurer list Donna Hemphill as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Donna Hemphill affiliated with any hospitals?

According to CMS data, Donna Hemphill is affiliated with Aurora Medical Center Kenosha.

When was this NPI record last updated?

The NPPES record for Donna Hemphill was last updated on August 26, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.