JACQUELINE A KEMP CRNA
NPI 1194137836
Nurse Anesthetist, Certified Registered in Mauston, WI

Q: What is Jacqueline Kemp's NPI number?

The NPI number for Jacqueline Kemp is 1194137836. It was assigned to this individual provider in the NPPES registry on May 29, 2014. The provider is also known as Jacqueline Holquist.

Q: What is Jacqueline Kemp's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: When was this NPI record last updated?

The NPPES record for Jacqueline Kemp was last updated on November 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.

Active since May 29, 2014Accepts Medicare Assignment

86.87/100

CMS Quality Rating

1050 DIVISION ST, MAUSTON, WI 53948(608) 847-6161 Get Directions Write a Review

NPPES record last updated: November 8, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 8, 2019, Jan 1, 2019 (2 updates tracked since 2019).

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About Jacqueline A Kemp Crna NPPES

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

JACQUELINE A KEMP CRNA (NPI 1194137836) is an individual nurse anesthetist, certified registered in Mauston, Wisconsin, licensed in Wisconsin (5846-33) and active in the NPI registry since May 2014. She is affiliated with Divine Savior Healthcare, maintains a secondary practice location in Beaver Dam, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1194137836

Entity TypeIndividualFemale

Primary Taxonomy367500000X

Provider Legal NameJACQUELINE A KEMPCredential: CRNA

Location Address1050 DIVISION STMauston, WI 53948

Mailing Address1050 Division StMauston, WI 53948-1931 · (608) 847-6161

Phone(608) 847-6161

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateMay 29, 2014

Last NPPES UpdateNovember 8, 20192 updates tracked since enumeration

✔ NPI 1194137836 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

License✔ Licensed in WI · 5846-33

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

Also ListedNurse PractitionerTaxonomy 363L00000X · License 5846-33 (WI)

1050 DIVISION ST, Mauston, WI 53948

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Other Names 1

Former Name (1)Jacqueline Holquist

Secondary Practice Location 1

Location 1707 S University AveBeaver Dam, WI 53916-3027 · Phone (414) 290-6720 · Fax (414) 290-6755

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

Jacqueline A Kemp Crna 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 ID6103046818

PECOS Enrollment IDI20141001000685

Areas of Expertise CMS Part B claims 3

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.

Anesthesia for lens surgery 00142

Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.

43 services38 patients

Anesthesia for other procedure on large bowel using an endoscope 00811

Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.

29 services29 patients

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731

This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.

15 services15 patients

Hospital Affiliations CMS Care Compare

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

Divine Savior Healthcare

Acute Care Hospitals · Portage, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520041

Location2817 New Pinery RoadPortage, WI 53901 · Columbia County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53948 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.

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.

86.87/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

89.05

Promoting Interoperability

100

Improvement Activities

Cost

63.39

Reported Quality Measures

Post-Anesthetic Transfer of Care Measure: Procedure Room to a Post Anesthesia Care Unit (PACU)

Percentage of patients, regardless of age, who are under the care of an anesthesia practitioner and are admitted to a PACU or other non-ICU location in which a post-anesthetic formal transfer of care protocol or checklist which includes the key transfer of…

100%79 patients5/55-star benchmark: 100%

Pre-operative OSA assessment

Percentage of patients who undergo a surgical procedure in the operating room/procedure room that have a pre-operative assessment for Obstructive Sleep Apnea (OSA)

96%80 patients4/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

KELLY LYNN MCCANN RN

Registered Nurse (Emergency)