MRS. ELLEN GRACE BARNSTABLE MD
NPI 1053948562
Dermatology in Lake Geneva, WI

Active since March 25, 2020PECOS EnrolledAccepts Medicare Assignment
146 E GENEVA SQ, LAKE GENEVA, WI 53147(622) 249-5000 Get Directions Write a Review

NPPES record last updated: November 6, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 6, 2024, Sep 24, 2024, Aug 22, 2024 and 2 more (5 updates tracked since 2020).

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

NPI1053948562
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameMRS. ELLEN GRACE BARNSTABLECredential: MD
Location Address146 E GENEVA SQLake Geneva, WI 53147-9695
Mailing Address146 E Geneva SqLake Geneva, WI 53147-9695 · (622) 249-5000
Sole ProprietorNo
Medical School CMSR Franklin University Of Med & Sci/chicago Medical SchoolGraduated 2020
Enumeration DateMarch 25, 2020
Last NPPES UpdateNovember 6, 20245 updates tracked since enumeration
NPPES CertifiedNovember 6, 2024
NPI 1053948562 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in WI · 83862-20
Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 11021938A (IN)
146 E GENEVA SQ, Lake Geneva, WI 53147

Other Names 1

Former Name (1)Miss Ellen Grace Wright

Secondary Practice Locations 2

Location 1545 Barnhill DrIndianapolis, IN 46202-5112 · Phone (317) 278-6833
Location 22901 W Oklahoma AveMilwaukee, WI 53215-4329 · Phone (414) 649-3323

Other Identifiers 1

Medicaid100287398WI

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

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.

PECOS PAC ID9234530353
PECOS Enrollment IDI20240918002528
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 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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
133 services32 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
46 services46 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
44 services43 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
43 services43 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
39 services39 patients
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.
27 services25 patients

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, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520138
Location2900 W Oklahoma AveMilwaukee, WI 53215 · Milwaukee County
Emergency services Birthing friendly

Physician 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.

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
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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.

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.

Social Worker
146 E GENEVA SQ, AURORA HEALTH CENTER
LAKE GENEVA, WI 53147
Social Worker
146 E GENEVA SQ
LAKE GENEVA, WI 53147
Psychologist
146 E GENEVA SQ
LAKE GENEVA, WI 53147
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
146 E GENEVA SQ
LAKE GENEVA, WI 53147
Family Medicine
146 E GENEVA SQ
LAKE GENEVA, WI 53147
Physical Therapist
146 E GENEVA SQ
LAKE GENEVA, WI 53147
Physical Therapist
146 E GENEVA SQ, EAST SIDE BLDG
LAKE GENEVA, WI 53147
Specialist/Technologist (Athletic Trainer)
146 E GENEVA SQ
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.

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.

What insurance does Ellen Barnstable accept?

Health plans from Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners, Quartz and UnitedHealthcare 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 with the weekly NPPES data releases published by CMS.