Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacob Kriedermann, DO

Individual provider Emergency Medicine Physician · NPI 1144614603

Jacob Kriedermann, DO is an Emergency Medicine in Wauwatosa, Wisconsin. Graduated from Lake Erie College of Osteopathic Medicine, Erie in 2015, 11 years ago. Practices with Fredericksburg Emergency Medical Alliance, Inc, a 48-clinician group and accepts Medicare assignment. Licensed in Mississippi, Tennessee and Wisconsin.

Years since qualifying
11
Trained at
Lake Erie College of Osteopathic Medicine, Erie
Licensed in
MS, TN, WI
In the registry since
2015
Specialties on file
4
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

10625 W North Ave Ste 101B
Wauwatosa, WI 53226-2315
Phone: (414) 877-5350
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 3425 (TN)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 82197-21 (WI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Emergency Medicine Physician Taxonomy 207P00000X · Licence T-2975 (MS)

Record details

NPI number1144614603
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 23, 2015
Last updated in NPPESJune 30, 2026
Certification dateJune 30, 2026
Mailing address10625 W North Ave Ste 101b, Wauwatosa, WI 53226-2315

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolLAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Graduated 2015 (11 years in practice)
Group practice Fredericksburg Emergency Medical Alliance, Inc. — 48 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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