ELIZABETH OWERS MERTENS MD
NPI 1366949216
Pediatrics in Milwaukee, WI

Active since April 08, 2018PECOS Enrolled
8915 W CONNELL AVE, MILWAUKEE, WI 53226(414) 337-7050 Get Directions Write a Review

NPPES record last updated: October 9, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 9, 2024, Aug 11, 2021, Jun 13, 2021 and 2 more (5 updates tracked since 2020).

About Elizabeth Owers Mertens Md NPPES

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

ELIZABETH OWERS MERTENS MD (NPI 1366949216) is an individual pediatrics provider in Milwaukee, Wisconsin, licensed in Wisconsin (83432-20) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366949216
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameELIZABETH OWERS MERTENSCredential: MD
Location Address8915 W CONNELL AVEMilwaukee, WI 53226-3067
Mailing Address999 N 92nd St Ste 560Milwaukee, WI 53226-4875 · (414) 337-7050
Sole ProprietorNo
Enumeration DateApril 8, 2018
Last NPPES UpdateOctober 9, 20245 updates tracked since enumeration
NPPES CertifiedOctober 9, 2024
✔ NPI 1366949216 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in WI · 83432-20
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
8915 W CONNELL AVE, Milwaukee, WI 53226

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elizabeth Owers Mertens Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Elizabeth Mertens reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinical Medical Laboratory
720 20TH STREET SOUTH
Birmingham, AL 35294
  • Reassigned Medicare billing, Alabama enrollment
  • 4,494 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 53226 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
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

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.

Physician Assistant
8915 W CONNELL AVE
WAUWATOSA, WI 53226
Anesthesiology
8915 W CONNELL AVE
MILWAUKEE, WI 53226
Pediatrics
8915 W CONNELL AVE
MILWAUKEE, WI 53226
Nurse Practitioner (Neonatal, Critical Care)
8915 W CONNELL AVE
MILWAUKEE, WI 53226
Student in an Organized Health Care Education/Training Program
8915 W CONNELL AVE
MILWAUKEE, WI 53226
Pharmacist
8915 W CONNELL AVE
MILWAUKEE, WI 53226
Registered Nurse
8915 W CONNELL AVE
MILWAUKEE, WI 53226
Student in an Organized Health Care Education/Training Program
8915 W CONNELL AVE
MILWAUKEE, WI 53226

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 Mertens's NPI number?

The NPI number for Elizabeth Mertens is 1366949216. It was assigned to this individual provider in the NPPES registry on April 8, 2018.

Where is Elizabeth Mertens located?

Elizabeth Mertens practices at 8915 W Connell Ave, Milwaukee, WI 53226. The listed phone number is (414) 337-7050.

What is Elizabeth Mertens's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Elizabeth Mertens enrolled in Medicare?

Yes. Elizabeth Mertens is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Elizabeth Mertens's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elizabeth Mertens reassigns Medicare benefits to University Of Alabama Health Services Foundation, PC (Birmingham, AL). 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 Elizabeth Mertens's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Elizabeth Mertens accept?

Health plans from CareSource (Common Ground Healthcare) list Elizabeth Mertens 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 Elizabeth Mertens was last updated on October 9, 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.