ELIZABETH MIDDLETON BAUMANN
NPI 1356961817
Nurse Practitioner - Acute Care in Birmingham, AL

Active since April 24, 2020PECOS EnrolledAccepts Medicare Assignment
96.24/100
CMS Quality Rating
2660 10TH AVE S STE 528, BIRMINGHAM, AL 35205(205) 933-9258 Get Directions Write a Review

NPPES record last updated: July 26, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 26, 2023, Apr 24, 2020 (2 updates tracked since 2020).

About Elizabeth Middleton Baumann NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELIZABETH MIDDLETON BAUMANN (NPI 1356961817) is an individual acute care provider in Birmingham, Alabama, licensed in Alabama (1-153755) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS, is affiliated with Wellstar Kennestone Regional Medical Center, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1356961817
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameELIZABETH MIDDLETON BAUMANN
Location Address2660 10TH AVE S STE 528Birmingham, AL 35205-1625
Mailing Address810 Saint Vincents DrBirmingham, AL 35205-1695 · (205) 939-7000
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateApril 24, 2020
Last NPPES UpdateJuly 26, 20232 updates tracked since enumeration
NPPES CertifiedJuly 26, 2023
NPI 1356961817 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in AL · 1-153755
2660 10TH AVE S STE 528, Birmingham, AL 35205

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

Elizabeth Middleton Baumann 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 ID5395124465
PECOS Enrollment IDI20250807003385
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 4

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
67 services61 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
21 services12 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.
14 services14 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Wellstar Kennestone Regional Medical Center

Acute Care Hospitals · Marietta, GA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110035
Location677 Church StreetMarietta, GA 30060 · Cobb County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35205 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

96.24/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability99
Improvement Activities40
Cost80.54

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
5 suppliers15 claims15 services$37.57 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
6 suppliers17 claims17 services$89.11 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Acute Care)
2660 10TH AVE S STE 528
BIRMINGHAM, AL 35205
Nurse Practitioner (Acute Care)
2660 10TH AVE S STE 528
BIRMINGHAM, AL 35205
Nurse Practitioner (Acute Care)
2660 10TH AVE S STE 528
BIRMINGHAM, AL 35205
Nurse Practitioner (Acute Care)
2660 10TH AVE S STE 528
BIRMINGHAM, AL 35205
Nurse Practitioner (Critical Care Medicine)
2660 10TH AVE S STE 528
BIRMINGHAM, AL 35205
Nurse Practitioner (Acute Care)
2660 10TH AVE S STE 528
BIRMINGHAM, AL 35205

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 Elizabeth Baumann's NPI number?

The NPI number for Elizabeth Baumann is 1356961817. It was assigned to this individual provider in the NPPES registry on April 24, 2020.

Where is Elizabeth Baumann located?

Elizabeth Baumann practices at 2660 10th Ave S Ste 528, Birmingham, AL 35205. The listed phone number is (205) 933-9258.

What is Elizabeth Baumann's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Elizabeth Baumann enrolled in Medicare?

Yes. Elizabeth Baumann 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 Elizabeth Baumann accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama and 1 other insurer list Elizabeth Baumann 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 Elizabeth Baumann affiliated with any hospitals?

According to CMS data, Elizabeth Baumann is affiliated with Wellstar Kennestone Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Elizabeth Baumann was last updated on July 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.