CHELSEY MARIE WALLACE-BAWDEN FNP
NPI 1316463003
Nurse Practitioner - Family in Mineral Point, WI
About Chelsey Marie Wallace-bawden Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHELSEY MARIE WALLACE-BAWDEN FNP (NPI 1316463003) is an individual family provider in Mineral Point, Wisconsin, licensed in Wisconsin (7875-33) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS, is affiliated with Ssm Health St Mary's Hospital - Madison, and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
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
Chelsey Marie Wallace-bawden 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 Chelsey Wallace-bawden reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Mineral Point, WI 53565
- Reassigned Medicare billing, Wisconsin enrollment
- 166 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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ssm Health St Mary's Hospital - Madison
Acute Care Hospitals · Madison, WIUpland Hills Health
Critical Access Hospitals · Dodgeville, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 53565 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Referred Medical Equipment & Supplies CMS DME claims 3
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Chelsey Wallace-bawden's NPI number?
The NPI number for Chelsey Wallace-bawden is 1316463003. It was assigned to this individual provider in the NPPES registry on August 15, 2017.
Where is Chelsey Wallace-bawden located?
Chelsey Wallace-bawden practices at 104 High St, Mineral Point, WI 53565. The listed phone number is (608) 987-2346.
What is Chelsey Wallace-bawden's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Chelsey Wallace-bawden enrolled in Medicare?
Yes. Chelsey Wallace-bawden 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 Chelsey Wallace-bawden's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Chelsey Wallace-bawden reassigns Medicare benefits to Upland Hills Health, Inc. (Mineral Point, 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 Chelsey Wallace-bawden's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Chelsey Wallace-bawden accept?
Health plans from Anthem Blue Cross and Blue Shield, Dean Health Plan, Group Health Cooperative-SCW and Quartz list Chelsey Wallace-bawden 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 Chelsey Wallace-bawden affiliated with any hospitals?
According to CMS data, Chelsey Wallace-bawden is affiliated with Ssm Health St Mary's Hospital - Madison and Upland Hills Health.
When was this NPI record last updated?
The NPPES record for Chelsey Wallace-bawden was last updated on January 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Chelsey Marie Wallace-Bawden, FNP · NPI 1316463003
Family physician in Mineral Point, Wisconsin. Individual provider, active in the CMS NPPES registry since August 15, 2017.
## Identity
- **NPI:** 1316463003 (Entity type: Individual)
- **Enumerated:** August 15, 2017
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 7875-33 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 104 HIGH ST, Mineral Point, WI 53565-1289
- **Phone:** (608) 987-2346
## 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:** Upland Hills Health, Inc. (NPI 1093299166, Mineral Point, WI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** January 21, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1316463003) · Data from the CMS NPPES public registry.