Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JACOB KRIEDERMANN D.O.
NPI 1144614603
Emergency Medicine in Wauwatosa, WI

Active since March 23, 2015PECOS EnrolledAccepts Medicare Assignment
75.06/100
CMS Quality Rating
10625 W NORTH AVE STE 101B, WAUWATOSA, WI 53226(414) 877-5350 Get Directions Write a Review

NPPES record last updated: June 30, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacob Kriedermann D.o. NPPES

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

JACOB KRIEDERMANN D.O. (NPI 1144614603) is an individual emergency medicine provider in Wauwatosa, Wisconsin, licensed in Tennessee (3425) and active in the NPI registry since March 2015. He is enrolled in Medicare PECOS, is affiliated with Mary Washington Hospital, and is a graduate of Lake Erie College Of Osteopathic Medicine, Erie (2015).

NPPES Registry Identity

NPI1144614603
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameJACOB KRIEDERMANNCredential: D.O.
Location Address10625 W NORTH AVE STE 101BWauwatosa, WI 53226-2315
Mailing Address10625 W North Ave Ste 101bWauwatosa, WI 53226-2315 · (414) 877-5350
Sole ProprietorNo
Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2015
Enumeration DateMarch 23, 2015
Last NPPES UpdateJune 30, 2026
NPPES CertifiedJune 30, 2026
NPI 1144614603 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses Licensed in TN · 3425 Licensed in WI · 82197-21 Licensed in MS · T-2975
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
10625 W NORTH AVE STE 101B, Wauwatosa, WI 53226

Other Identifiers 1

Medicaid01150325MS

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

Jacob Kriedermann D.o. 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 ID1951617588
PECOS Enrollment IDI20240909000812
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
190 services183 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
157 services156 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
38 services38 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
18 services18 patients

Hospital Affiliations CMS Care Compare 2

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

Mary Washington Hospital

Acute Care Hospitals · Fredericksburg, VA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490022
Location1001 Sam Perry BoulevardFredericksburg, VA 22401 · Fredericksburg City County
Emergency services Birthing friendly

Stafford Hospital, LLC

Acute Care Hospitals · Stafford, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490140
Location101 Hospital Center BoulevardStafford, VA 22554 · Stafford County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53226 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality56.46
Improvement Activities40
Cost71.87

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 Practitioner
10625 W NORTH AVE STE 101B
WAUWATOSA, WI 53226
Emergency Medicine
10625 W NORTH AVE STE 101B
WAUWATOSA, WI 53226
Emergency Medicine
10625 W NORTH AVE STE 101B
WAUWATOSA, WI 53226
Physician Assistant
10625 W NORTH AVE STE 101B
WAUWATOSA, WI 53226
Physician Assistant
10625 W NORTH AVE STE 101B
WAUWATOSA, WI 53226
Physician Assistant
10625 W NORTH AVE STE 101B
WAUWATOSA, WI 53226
Physician Assistant
10625 W NORTH AVE STE 101B
WAUWATOSA, WI 53226
Emergency Medicine
10625 W NORTH AVE STE 101B
WAUWATOSA, WI 53226

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 Jacob Kriedermann's NPI number?

The NPI number for Jacob Kriedermann is 1144614603. It was assigned to this individual provider in the NPPES registry on March 23, 2015.

Where is Jacob Kriedermann located?

Jacob Kriedermann practices at 10625 W North Ave Ste 101B, Wauwatosa, WI 53226. The listed phone number is (414) 877-5350.

What is Jacob Kriedermann's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Jacob Kriedermann enrolled in Medicare?

Yes. Jacob Kriedermann 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.

Is Jacob Kriedermann affiliated with any hospitals?

According to CMS data, Jacob Kriedermann is affiliated with Mary Washington Hospital and Stafford Hospital, LLC.

When was this NPI record last updated?

The NPPES record for Jacob Kriedermann was last updated on June 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 37 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.