MARY ELIZABETH DEWATERS DO
NPI 1235572447
Family Medicine in Milwaukee, WI
About Mary Elizabeth Dewaters Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARY ELIZABETH DEWATERS DO (NPI 1235572447) is an individual family medicine provider in Milwaukee, Wisconsin, licensed in Wisconsin (64204) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS and is a graduate of Lake Erie College Of Osteopathic Medicine, Erie (2013).
NPPES Registry Identity
Specialties & Licenses
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
Mary Elizabeth Dewaters 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.
Medicare Billing Reassignment
Medicare enrollment records show Mary Dewaters reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Milwaukee, WI 53212
- Reassigned Medicare billing, Wisconsin enrollment
- 88 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 53212 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.
MILWAUKEE, WI 53212
MILWAUKEE, WI 53212
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 Mary Dewaters's NPI number?
The NPI number for Mary Dewaters is 1235572447. It was assigned to this individual provider in the NPPES registry on April 8, 2013.
Where is Mary Dewaters located?
Mary Dewaters practices at 210 W Capitol Dr, Milwaukee, WI 53212. The listed phone number is (144) 906-5306.
What is Mary Dewaters's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Mary Dewaters enrolled in Medicare?
Yes. Mary Dewaters 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 Mary Dewaters's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mary Dewaters reassigns Medicare benefits to Outreach Community Health Centers, Inc (Milwaukee, 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 Mary Dewaters's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mary Dewaters accept?
Health plans from Ambetter Health, Ambetter from Sunflower Health Plan, Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare) and Network Health and 1 other insurer list Mary Dewaters 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 Mary Dewaters was last updated on January 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Mary Elizabeth Dewaters, DO · NPI 1235572447
Family Medicine physician in Milwaukee, Wisconsin. Individual provider, active in the CMS NPPES registry since April 8, 2013.
## Identity
- **NPI:** 1235572447 (Entity type: Individual)
- **Enumerated:** April 8, 2013
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 64204 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 210 W CAPITOL DR, Milwaukee, WI 53212-3732
- **Phone:** (144) 906-5306 · **Fax:** (144) 906-4533
## 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:** Outreach Community Health Centers, Inc (NPI 1710032669, Milwaukee, WI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Lake Erie College Of Osteopathic Medicine, Erie, class of 2013
## Record status
- **NPPES last updated:** January 15, 2020
- **Other identifiers:** Medicaid 1235572447 (WI)
---
Source: [NPI Profile](https://npiprofile.com/npi/1235572447) · Data from the CMS NPPES public registry.