JENNIFER BANHOLZER NP
NPI 1629841515
Nurse Practitioner in Sheboygan, WI

Q: What is Jennifer Banholzer's NPI number?

The NPI number for Jennifer Banholzer is 1629841515. It was assigned to this individual provider in the NPPES registry on November 1, 2023.

Q: What is Jennifer Banholzer's specialty?

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

Active since November 01, 2023PECOS EnrolledAccepts Medicare Assignment

3400 UNION AVE, SHEBOYGAN, WI 53081(920) 254-3854 Get Directions Write a Review

NPPES record last updated: April 23, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 23, 2024, Dec 6, 2023, Nov 2, 2023 (3 updates tracked since 2023).

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About Jennifer Banholzer Np NPPES

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

JENNIFER BANHOLZER NP (NPI 1629841515) is an individual nurse practitioner in Sheboygan, Wisconsin, licensed in Wisconsin (14377-033) and active in the NPI registry since November 2023. She is enrolled in Medicare PECOS, is affiliated with Aurora Health Care Central Inc, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1629841515

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameJENNIFER BANHOLZERCredential: NP

Location Address3400 UNION AVESheboygan, WI 53081-8426

Mailing Address3400 Union AveSheboygan, WI 53081-8426

Phone(920) 254-3854

Sole ProprietorYes

Medical School CMSOtherGraduated 2023

Enumeration DateNovember 1, 2023

Last NPPES UpdateApril 23, 20243 updates tracked since enumeration

NPPES CertifiedApril 23, 2024

✔ NPI 1629841515 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in WI · 14377-033

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.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 14377 (WI)

3400 UNION AVE, Sheboygan, WI 53081

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Other Identifiers 1

Medicaid100266819WI

Accepted Insurance

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

Jennifer Banholzer Np 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 ID6507203668

PECOS Enrollment IDI20240325002474

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

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.

41 services41 patients

Hospital Affiliations CMS Care Compare

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

Aurora Health Care Central Inc

Acute Care Hospitals · Sheboygan, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520035

Location3400 Union AveSheboygan, WI 53081 · Sheboygan County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53081 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 20

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

LINDSEY KAY ROZEWICZ FNP-BC

Nurse Practitioner