JACQUELINE KIENHOLZ PA
NPI 1649618356
Surgery - Surgical Oncology in Gilbert, AZ

Active since June 05, 2013PECOS EnrolledAccepts Medicare Assignment
81.49/100
CMS Quality Rating
BANNER MD ANDERSON CANCER CENTER, 2946 E. BANNER GATEWAY DRIVE, GILBERT, AZ 85234(480) 256-6444(480) 256-3682 Get Directions Write a Review

NPPES record last updated: March 18, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jacqueline Kienholz Pa NPPES

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

JACQUELINE KIENHOLZ PA (NPI 1649618356) is an individual surgical oncology provider in Gilbert, Arizona, licensed in Arizona (5467) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1649618356
Entity TypeIndividualFemale
Primary Taxonomy2086X0206X
Provider Legal NameJACQUELINE KIENHOLZCredential: PA
Location AddressBANNER MD ANDERSON CANCER CENTER, 2946 E. BANNER GATEWAY DRIVEGilbert, AZ 85234
Mailing AddressBanner Md Anderson Cancer Center, 2940 E. Banner Gateway DriveGilbert, AZ 85234 · (480) 256-6444 · Fax (480) 256-3682
Fax(480) 256-3682
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJune 5, 2013
Last NPPES UpdateMarch 18, 2020
NPPES CertifiedMarch 18, 2020
NPI 1649618356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtySurgery · Surgical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2086X0206X
License Licensed in AZ · 5467
Definition
A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License PA22903 (CA)
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License 5467 (AZ)
Also ListedClinical Nurse Specialist · Family HealthTaxonomy 364SF0001X · License PA22903 (CA)
BANNER MD ANDERSON CANCER CENTER, Gilbert, AZ 85234

Other Names 1

Other Name (5)Jacqueline Green Pa

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

Jacqueline Kienholz Pa 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 ID4688804735
PECOS Enrollment IDI20140311001291
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 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.
20 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85234 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
$168.60 typical visit price
range $55.44 – $168.60
Typical copayment $42.15 (range $13.86 – $42.15)
Most-billed visit code 99205
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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.

81.49/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40
Cost38.3

Other Providers at the Same Location NPPES 16

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

Nurse Practitioner (Family)
BANNER MD ANDERSON CANCER CENTER, 2946 E. BANNER GATEWAY DRIVE
GILBERT, AZ 85234
Radiology (Diagnostic Radiology)
BANNER MD ANDERSON CANCER CENTER, 2940 E. BANNER GATEWAY DRIVE SUITE 350
GILBERT, AZ 85234
Surgery (Surgical Oncology)
BANNER MD ANDERSON CANCER CENTER, 2946 E. BANNER GATEWAY DRIVE
GILBERT, AZ 85234
Radiology (Radiation Oncology)
BANNER MD ANDERSON CANCER CENTER, 2946 E. BANNER GATEWAY DRIVE
GILBERT, AZ 85234
Physician Assistant (Surgical)
BANNER MD ANDERSON CANCER CENTER, 2940 E. BANNER GATEWAY DRIVE
GILBERT, AZ 85234
Nurse Practitioner (Adult Health)
BANNER MD ANDERSON CANCER CENTER, 2946 E. BANNER GATEWAY DRIVE
GILBERT, AZ 85234
Nurse Practitioner (Adult Health)
BANNER MD ANDERSON CANCER CENTER, 2946 E. BANNER GATEWAY DRIVE
GILBERT, AZ 85234
Physician Assistant
BANNER MD ANDERSON CANCER CENTER, 2946 E. BANNER GATEWAY DRIVE
GILBERT, AZ 85234

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 Jacqueline Kienholz's NPI number?

The NPI number for Jacqueline Kienholz is 1649618356. It was assigned to this individual provider in the NPPES registry on June 5, 2013. The provider is also known as Jacqueline Green PA.

Where is Jacqueline Kienholz located?

Jacqueline Kienholz practices at Banner MD Anderson Cancer Center 2946 E. Banner Gateway Drive, Gilbert, AZ 85234. The listed phone number is (480) 256-6444.

What is Jacqueline Kienholz's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Oncology, with taxonomy code 2086X0206X.

Is Jacqueline Kienholz enrolled in Medicare?

Yes. Jacqueline Kienholz 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 Jacqueline Kienholz accept?

Health plans from Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and UnitedHealthcare list Jacqueline Kienholz 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.

When was this NPI record last updated?

The NPPES record for Jacqueline Kienholz was last updated on March 18, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.