MRS. EMILY ELIZABETH BAUMGARTNER MSN, FNP
NPI 1164262291
Nurse Practitioner - Family in Cumming, GA
About Mrs. Emily Elizabeth Baumgartner Msn, Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. EMILY ELIZABETH BAUMGARTNER MSN, FNP (NPI 1164262291) is an individual family provider in Cumming, Georgia, licensed in Georgia (RN265807) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Other Names 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. Emily Elizabeth Baumgartner Msn, Fnp 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 Emily Baumgartner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Atlanta, GA 30342
- Reassigned Medicare billing, Georgia enrollment
- 487 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30040 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Emily Baumgartner's NPI number?
The NPI number for Emily Baumgartner is 1164262291. It was assigned to this individual provider in the NPPES registry on May 28, 2024. The provider is also known as Ms. Emily Elizabeth Coyle Msn, Fnp.
Where is Emily Baumgartner located?
Emily Baumgartner practices at 6030 John Burruss Rd, Cumming, GA 30040. The listed phone number is (770) 377-0385.
What is Emily Baumgartner's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Emily Baumgartner enrolled in Medicare?
Yes. Emily Baumgartner 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 Emily Baumgartner's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Emily Baumgartner reassigns Medicare benefits to Northside Surgical Professional Services LLC (Atlanta, GA). 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 Emily Baumgartner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Emily Baumgartner accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Emily Baumgartner 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 Emily Baumgartner was last updated on May 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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. Emily Elizabeth Baumgartner, MSN, FNP · NPI 1164262291
Family physician in Cumming, Georgia. Individual provider, active in the CMS NPPES registry since May 28, 2024.
## Identity
- **NPI:** 1164262291 (Entity type: Individual)
- **Enumerated:** May 28, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** RN265807 (Georgia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 6030 JOHN BURRUSS RD, Cumming, GA 30040-4205
- **Phone:** (770) 377-0385
## 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:** Northside Surgical Professional Services LLC (NPI 1356630990, Atlanta, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** May 28, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1164262291) · Data from the CMS NPPES public registry.