DR. CHELSEA LORAN HOLTZ D.O
NPI 1306280276
Family Medicine in Shorewood, WI

Active since April 23, 2013PECOS EnrolledAccepts Medicare Assignment
75.75/100
CMS Quality Rating
4027 N OAKLAND AVE, SHOREWOOD, WI 53211(414) 962-7477 Get Directions Write a Review

NPPES record last updated: September 30, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Chelsea Loran Holtz D.o NPPES

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

DR. CHELSEA LORAN HOLTZ D.O (NPI 1306280276) is an individual family medicine provider in Shorewood, Wisconsin, licensed in Wisconsin (63269) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS, is affiliated with Ascension Columbia St Mary's Hospital Milwaukee, and is a graduate of University Of Kansas School Of Med (kc/wich/sal) (2013).

NPPES Registry Identity

NPI1306280276
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. CHELSEA LORAN HOLTZCredential: D.O
Location Address4027 N OAKLAND AVEShorewood, WI 53211-2356
Mailing Address4027 N Oakland AveShorewood, WI 53211-2356 · (414) 962-7477
Sole ProprietorNo
Medical School CMSUniversity Of Kansas School Of Med (kc/wich/sal)Graduated 2013
Enumeration DateApril 23, 2013
Last NPPES UpdateSeptember 30, 2020
NPPES CertifiedSeptember 30, 2020
NPI 1306280276 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in WI · 63269
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4027 N OAKLAND AVE, Shorewood, WI 53211

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. Chelsea Loran Holtz 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 ID9739408113
PECOS Enrollment IDI20160816000604
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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
109 services80 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
96 services96 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
57 services42 patients
Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment G0402
An Initial Preventive Physical Examination, also known as a "Welcome to Medicare" visit, is a one-time, face-to-face visit during your first 12 months of Medicare enrollment. It includes a review of your health, as well as education and counseling about preventive services and further screenings.
11 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Ascension Columbia St Mary's Hospital Milwaukee

Acute Care Hospitals · Milwaukee, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520051
Location2323 N Lake DrMilwaukee, WI 53211 · Milwaukee County
Emergency services Birthing friendly

Ascension SE Wisconsin Hospital

Acute Care Hospitals · Milwaukee, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520136
Location5000 W Chambers StMilwaukee, WI 53210 · Milwaukee County
Emergency services Birthing friendly

Orthopaedic Hospital Of Wisconsin

Acute Care Hospitals · Glendale, WI
OwnershipPhysician
CMS Certification Number520194
Location475 W River Woods PkwyGlendale, WI 53212 · Milwaukee County

Aurora Medical Center

Acute Care Hospitals · Grafton, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520207
Location975 Port Washington RoadGrafton, WI 53024 · Ozaukee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53211 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.

75.75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.16
Promoting Interoperability76
Improvement Activities40
Cost57.63

Other Providers at the Same Location NPPES 3

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

Social Worker (Clinical)
4027 N OAKLAND AVE
SHOREWOOD, WI 53211
Nurse Practitioner (Family)
4027 N OAKLAND AVE
SHOREWOOD, WI 53211
Family Medicine
4027 N OAKLAND AVE
SHOREWOOD, WI 53211

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 Chelsea Holtz's NPI number?

The NPI number for Chelsea Holtz is 1306280276. It was assigned to this individual provider in the NPPES registry on April 23, 2013.

Where is Chelsea Holtz located?

Chelsea Holtz practices at 4027 N Oakland Ave, Shorewood, WI 53211. The listed phone number is (414) 962-7477.

What is Chelsea Holtz's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Chelsea Holtz enrolled in Medicare?

Yes. Chelsea Holtz 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 Chelsea Holtz accept?

Health plans from Anthem Blue Cross and Blue Shield and Network Health list Chelsea Holtz 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 Chelsea Holtz affiliated with any hospitals?

According to CMS data, Chelsea Holtz is affiliated with Ascension Columbia St Mary's Hospital Milwaukee, Ascension SE Wisconsin Hospital, Orthopaedic Hospital Of Wisconsin and Aurora Medical Center.

When was this NPI record last updated?

The NPPES record for Chelsea Holtz was last updated on September 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.