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JESSICA LYNN KELDERMAN M.D.
NPI 1588808489
General Practice in Madison, WI

Active since April 23, 2009PECOS Enrolled
5315 WALL ST STE 260, MADISON, WI 53718(608) 807-1600(608) 467-1425 Get Directions Write a Review

NPPES record last updated: September 18, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 18, 2024, Oct 14, 2019, May 3, 2018 (3 updates tracked since 2018).

About Jessica Lynn Kelderman M.d. NPPES

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

JESSICA LYNN KELDERMAN M.D. (NPI 1588808489) is an individual general practice provider in Madison, Wisconsin, licensed in Wisconsin (55339-020) and active in the NPI registry since April 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1588808489
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameJESSICA LYNN KELDERMANCredential: M.D.
Location Address5315 WALL ST STE 260Madison, WI 53718-7937
Mailing AddressN5611 County Road ALake Mills, WI 53551-9704
Phone(608) 807-1600
Fax(608) 467-1425
Sole ProprietorYes
Enumeration DateApril 23, 2009
Last NPPES UpdateSeptember 18, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 18, 2024
✔ NPI 1588808489 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in WI · 55339-020
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
5315 WALL ST STE 260, Madison, WI 53718
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Lynn Kelderman M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

5

Medicare enrollment records show Jessica Kelderman reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

American Current Care PA
1.9 mi
Urgent Care
1619 NORTH STOUGHTON ROAD
Madison, WI 53704
  • Reassigned Medicare billing, Wisconsin enrollment
  • 26 clinicians in this Medicare group
NPI 1962689836 (608) 244-1213
Iah Of Wisconsin, PLLC
61 mi
Family Medicine
13555 BISHOPS CT STE 315
Brookfield, WI 53005
  • Reassigned Medicare billing, Wisconsin enrollment
  • 22 clinicians in this Medicare group
NPI 1861898090 (248) 824-6000
Vpa PC
61 mi
Family Medicine
13555 BISHOPS CT STE 315
Brookfield, WI 53005
  • Reassigned Medicare billing, Wisconsin enrollment
  • 53 clinicians in this Medicare group
NPI 1659484657 (414) 255-0300
Theoria Medical
300 mi
Internal Medicine
41800 W 11 MILE RD STE 109
Novi, MI 48375
  • Reassigned Medicare billing, Wisconsin enrollment
  • 32 clinicians in this Medicare group
NPI 1609362375 (248) 860-4634
Signify Health Medical Associates, PLLC
815 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Wisconsin enrollment
  • 303 clinicians in this Medicare group
NPI 1750845863 (972) 715-3800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Referred Medical Equipment & Supplies CMS DME claims 9

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers27 claims58 services$4.83 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers34 claims34 services$17.90 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers46 claims46 services$95.85 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$37.00 avg. paid by Medicare
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620
DME-Drugs Administered Through DME · category DG006N
3 suppliers17 claims1,370 services$0.08 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers15 claims15 services$17.47 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

CAROL M HAMUS NP
Nurse Practitioner
5315 WALL ST STE 260
MADISON, WI 53718
Dane County (608) 807-1600
KATHY JO WILLIAMS MD
Family Medicine
5315 WALL ST STE 260
MADISON, WI 53718
Dane County (608) 807-1600
SARAH RUTH RUSTAD M.D.
Family Medicine
5315 WALL ST STE 260
MADISON, WI 53718
Dane County (608) 807-1600

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 Jessica Kelderman's NPI number?

The NPI number for Jessica Kelderman is 1588808489. It was assigned to this individual provider in the NPPES registry on April 23, 2009.

Where is Jessica Kelderman located?

Jessica Kelderman practices at 5315 Wall St Ste 260, Madison, WI 53718. The listed phone number is (608) 807-1600.

What is Jessica Kelderman's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Jessica Kelderman enrolled in Medicare?

Yes. Jessica Kelderman is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jessica Kelderman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Kelderman reassigns Medicare benefits to 5 organizations: American Current Care PA (Madison, WI), Iah Of Wisconsin, PLLC (Brookfield, WI), Vpa PC (Brookfield, WI), Theoria Medical (Novi, MI) and Signify Health Medical Associates, PLLC (Dallas, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jessica Kelderman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jessica Kelderman was last updated on September 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.