MRS. ELLEN GRACE BARNSTABLE MD
NPI 1053948562
Dermatology in Lake Geneva, WI
About Mrs. Ellen Grace Barnstable Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. ELLEN GRACE BARNSTABLE MD (NPI 1053948562) is an individual dermatology provider in Lake Geneva, Wisconsin, licensed in Wisconsin (83862-20) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS, is affiliated with Aurora St Lukes Medical Center, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Secondary Practice Locations 2
Other Identifiers 1
Accepted Insurance
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
Mrs. Ellen Grace Barnstable Md 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.
Medicare Billing Reassignment
Medicare enrollment records show Ellen Barnstable reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
West Allis, WI 53227
- Reassigned Medicare billing, Wisconsin enrollment
- 4,609 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 9
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Aurora St Lukes Medical Center
Acute Care Hospitals · Milwaukee, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 53147 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
LAKE GENEVA, WI 53147
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 Ellen Barnstable's NPI number?
The NPI number for Ellen Barnstable is 1053948562. It was assigned to this individual provider in the NPPES registry on March 25, 2020. The provider is also known as Miss Ellen Grace Wright.
Where is Ellen Barnstable located?
Ellen Barnstable practices at 146 E Geneva Sq, Lake Geneva, WI 53147. The listed phone number is (622) 249-5000.
What is Ellen Barnstable's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Ellen Barnstable enrolled in Medicare?
Yes. Ellen Barnstable 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 organization bills Medicare for Ellen Barnstable's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ellen Barnstable reassigns Medicare benefits to Aurora Medical Group, Inc. (West Allis, WI). The 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 Ellen Barnstable's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ellen Barnstable accept?
Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Network Health and 2 other insurers list Ellen Barnstable 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.
Is Ellen Barnstable affiliated with any hospitals?
According to CMS data, Ellen Barnstable is affiliated with Aurora St Lukes Medical Center.
When was this NPI record last updated?
The NPPES record for Ellen Barnstable was last updated on November 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.
# Mrs. Ellen Grace Barnstable, MD · NPI 1053948562
Dermatology physician in Lake Geneva, Wisconsin. Individual provider, active in the CMS NPPES registry since March 25, 2020.
## Identity
- **NPI:** 1053948562 (Entity type: Individual)
- **Enumerated:** March 25, 2020
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **State license:** 83862-20 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 146 E GENEVA SQ, Lake Geneva, WI 53147-9695
- **Phone:** (622) 249-5000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Aurora Medical Group, Inc. (NPI 1457592735, West Allis, WI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** R Franklin University Of Med & Sci/chicago Medical School, class of 2020
## Record status
- **NPPES last updated:** November 6, 2024
- **Other identifiers:** Medicaid 100287398 (WI)
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Source: [NPI Profile](https://npiprofile.com/npi/1053948562) · Data from the CMS NPPES public registry.