1. Home
  2. Directory
  3. Wisconsin
  4. West Allis
  5. Nurse Practitioner
  6. NPI Profile

HOLLY DERENNE DNP
NPI 1174368021
Nurse Practitioner in West Allis, WI

Active since July 01, 2024PECOS EnrolledAccepts Medicare Assignment
2424 S 90TH ST STE 300, WEST ALLIS, WI 53227(414) 328-8270 Get Directions Write a Review

NPPES record last updated: November 6, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Nov 6, 2024, Sep 11, 2024, Jul 1, 2024 (3 updates tracked since 2024).

About Holly Derenne Dnp NPPES

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

HOLLY DERENNE DNP (NPI 1174368021) is an individual nurse practitioner in West Allis, Wisconsin, licensed in Wisconsin (15481-33) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS, is affiliated with Aurora St Lukes Medical Center, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1174368021
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameHOLLY DERENNECredential: DNP
Location Address2424 S 90TH ST STE 300West Allis, WI 53227-2455
Mailing Address2424 S 90th St Ste 300West Allis, WI 53227-2455
Phone(414) 328-8270
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJuly 1, 2024
Last NPPES UpdateNovember 6, 20243 updates tracked since enumeration
NPPES CertifiedNovember 6, 2024
✔ NPI 1174368021 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in WI · 15481-33
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
2424 S 90TH ST STE 300, West Allis, WI 53227
Open in Google Maps ↗

Other Identifiers 1

Medicaid100288934WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and more.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

Holly Derenne Dnp 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 ID9234662487
PECOS Enrollment IDI20241028001181
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 3

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

Aurora St Lukes Medical Center

Acute Care Hospitals · Milwaukee, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520138
Location2900 W Oklahoma AveMilwaukee, WI 53215 · Milwaukee County
Emergency services Birthing friendly

West Allis Memorial Hospital

Acute Care Hospitals · West Allis, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520139
Location8901 W Lincoln AveWest Allis, WI 53227 · Milwaukee County
Emergency services Birthing friendly

Aurora Medical Center - Summit

Acute Care Hospitals · Summit, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520206
Location36500 Aurora DriveSummit, WI 53066 · Waukesha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53227 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.

Other Providers at the Same Location NPPES 10

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

DR. HESHAM M ELGHANNAM MD
Internal Medicine (Pulmonary Disease)
2424 S 90TH ST STE 300
WEST ALLIS, WI 53227
Milwaukee County (414) 328-8150
CHOUA XIONG ZAZZI APNP, AGNP-C
Nurse Practitioner
2424 S 90TH ST STE 300
WEST ALLIS, WI 53227
Milwaukee County (414) 328-8750
BRITTANY WARD APNP
Nurse Practitioner
2424 S 90TH ST STE 300
WEST ALLIS, WI 53227
Milwaukee County (414) 389-2338
DR. RICHARD J GRIESHOP M.D.
Surgery (Vascular Surgery)
2424 S 90TH ST STE 300
WEST ALLIS, WI 53227
Milwaukee County (414) 328-8150
MIA L MANABAT D.O.
Internal Medicine (Gastroenterology)
2424 S 90TH ST STE 300
WEST ALLIS, WI 53227
Milwaukee County (414) 328-8750
DR. JOHN F KISPERT M.D.
Surgery (Vascular Surgery)
2424 S 90TH ST STE 300
WEST ALLIS, WI 53227
Milwaukee County (414) 328-8150
CATHERINE M BOPP PAC
Physician Assistant
2424 S 90TH ST STE 300
WEST ALLIS, WI 53227
Milwaukee County (414) 649-1280
MCKINLI LYNN SCHACHERL PA-C
Physician Assistant
2424 S 90TH ST STE 300
WEST ALLIS, WI 53227
Milwaukee County (414) 328-8750

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 Holly Derenne's NPI number?

The NPI number for Holly Derenne is 1174368021. It was assigned to this individual provider in the NPPES registry on July 1, 2024.

Where is Holly Derenne located?

Holly Derenne practices at 2424 S 90th St Ste 300, West Allis, WI 53227. The listed phone number is (414) 328-8270.

What is Holly Derenne's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Holly Derenne enrolled in Medicare?

Yes. Holly Derenne 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 Holly Derenne accept?

Health plans from Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners, Quartz and UnitedHealthcare list Holly Derenne 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 Holly Derenne affiliated with any hospitals?

According to CMS data, Holly Derenne is affiliated with Aurora St Lukes Medical Center, West Allis Memorial Hospital and Aurora Medical Center - Summit.

When was this NPI record last updated?

The NPPES record for Holly Derenne was last updated on November 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.