1. Home
  2. Directory
  3. Ohio
  4. Middleburg Heights
  5. Internal Medicine
  6. NPI Profile

JESSICA RAE HOLLENBACH DO
NPI 1780262527
Internal Medicine in Middleburg Heights, OH

Active since April 01, 2021PECOS EnrolledAccepts Medicare Assignment
18697 BAGLEY RD, MIDDLEBURG HEIGHTS, OH 44130(440) 816-8000 Get Directions Write a Review

NPPES record last updated: July 16, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jul 16, 2026, Apr 1, 2021 (2 updates tracked since 2021).

About Jessica Rae Hollenbach Do NPPES

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

JESSICA RAE HOLLENBACH DO (NPI 1780262527) is an individual internal medicine provider in Middleburg Heights, Ohio, licensed in Ohio (34.017050) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS, is affiliated with Southwest General Health Center, and is a graduate of Lake Erie College Of Osteopathic Medicine, Erie (2021).

NPPES Registry Identity

NPI1780262527
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameJESSICA RAE HOLLENBACHCredential: DO
Location Address18697 BAGLEY RDMiddleburg Heights, OH 44130-3417
Mailing Address18697 Bagley RdMiddleburg Heights, OH 44130-3417 · (440) 816-8000
Phone(440) 816-8000
Sole ProprietorNo
Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2021
Enumeration DateApril 1, 2021
Last NPPES UpdateJuly 16, 20262 updates tracked since enumeration
NPPES CertifiedJuly 16, 2026
✔ NPI 1780262527 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in OH · 34.017050
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X · License 34.017050 (OH)
18697 BAGLEY RD, Middleburg Heights, OH 44130
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jessica Rae Hollenbach Do 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 ID2466854336
PECOS Enrollment IDI20240919000385
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

2

Medicare enrollment records show Jessica Hollenbach reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hni Medical Services Of Ohio, LLC
Same address
Internal Medicine
18697 BAGLEY RD
Middleburg Heights, OH 44130
  • Reassigned Medicare billing, Ohio enrollment
  • 144 clinicians in this Medicare group
NPI 1356815922 (440) 542-5000
Southwest General Medical Group Inc.
0.1 mi
Family Medicine
7225 OLD OAK BLVD STE A210
Middleburg Heights, OH 44130
  • Reassigned Medicare billing, Ohio enrollment
  • 283 clinicians in this Medicare group
NPI 1235503384 (440) 816-2750

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

Hospital Affiliations CMS Care Compare 2

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

Southwest General Health Center

Acute Care Hospitals · Middleburg Heights, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360155
Location18697 Bagley RoadMiddleburg Heights, OH 44130 · Cuyahoga County
Emergency services Birthing friendly

Cleveland Clinic

Acute Care Hospitals · Cleveland, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360180
Location9500 Euclid AvenueCleveland, OH 44195 · Cuyahoga County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44130 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

DR. CHARLES LUTHER M.D.
Psychiatry & Neurology (Psychiatry)
18697 BAGLEY RD
MIDDLEBURG HEIGHTS, OH 44130
Cuyahoga County (440) 816-8200
LAURA PESETSKY CNP
Nurse Practitioner
18697 BAGLEY RD
MIDDLEBURG HEIGHTS, OH 44130
Cuyahoga County (440) 816-8000
PATRICK M CLEARY PA-C
Physician Assistant
18697 BAGLEY RD
CLEVELAND, OH 44130
Cuyahoga County (440) 816-8000
SOUTHWEST GENERAL MEDICAL GROUP INC
Anesthesiology
18697 BAGLEY RD
CLEVELAND, OH 44130
Cuyahoga County (440) 816-5872
RYAN JOSEPH NEWMAN PA-C
Physician Assistant (Medical)
18697 BAGLEY RD
MIDDLEBURG HEIGHTS, OH 44130
Cuyahoga County (440) 816-8000
MRS. PATRICIA ANN PHILLIPS RPH
Pharmacist
18697 BAGLEY RD
CLEVELAND, OH 44130
Cuyahoga County (440) 816-8410
JAMES JOS RYBAK MD
Emergency Medicine
18697 BAGLEY RD
MIDDLEBURG HEIGHTS, OH 44130
Cuyahoga County (440) 816-8000
PHILLIP STOUT MD
Emergency Medicine
18697 BAGLEY RD
MIDDLEBURG HEIGHTS, OH 44130
Cuyahoga County (440) 816-8000

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 Hollenbach's NPI number?

The NPI number for Jessica Hollenbach is 1780262527. It was assigned to this individual provider in the NPPES registry on April 1, 2021.

Where is Jessica Hollenbach located?

Jessica Hollenbach practices at 18697 Bagley Rd, Middleburg Heights, OH 44130. The listed phone number is (440) 816-8000.

What is Jessica Hollenbach's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Jessica Hollenbach enrolled in Medicare?

Yes. Jessica Hollenbach 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.

Which organizations bill Medicare for Jessica Hollenbach's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Hollenbach reassigns Medicare benefits to 2 organizations: Hni Medical Services Of Ohio, LLC (Middleburg Heights, OH) and Southwest General Medical Group Inc. (Middleburg Heights, OH). 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 Hollenbach's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Jessica Hollenbach affiliated with any hospitals?

According to CMS data, Jessica Hollenbach is affiliated with Southwest General Health Center and Cleveland Clinic.

When was this NPI record last updated?

The NPPES record for Jessica Hollenbach was last updated on July 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.