DR. EMILY VALKENBURGH M.D.
NPI 1376860627
Family Medicine in Cedarburg, WI

Q: What is Emily Valkenburgh's NPI number?

The NPI number for Emily Valkenburgh is 1376860627. It was assigned to this individual provider in the NPPES registry on April 27, 2010. The provider is also known as Emily Rosene MD.

Q: What is Emily Valkenburgh's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Emily Valkenburgh was last updated on February 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.

Active since April 27, 2010PECOS EnrolledAccepts Medicare Assignment

N69W5269 COLUMBIA RD, CEDARBURG, WI 53012(262) 474-8600 Get Directions Write a Review

NPPES record last updated: February 3, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 3, 2026, Feb 8, 2024, Apr 19, 2018 (3 updates tracked since 2018).

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About Dr. Emily Valkenburgh M.d. NPPES

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

DR. EMILY VALKENBURGH M.D. (NPI 1376860627) is an individual family medicine provider in Cedarburg, Wisconsin, licensed in Wisconsin (81704) and active in the NPI registry since April 2010. She is enrolled in Medicare PECOS and is a graduate of Tufts University School Of Medicine (2010).

NPPES Registry Identity

NPI1376860627

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. EMILY VALKENBURGHCredential: M.D.

Location AddressN69W5269 COLUMBIA RDCedarburg, WI 53012-2103

Mailing Address1121 E North AveMilwaukee, WI 53212-3515 · (414) 267-6502 · Fax (414) 267-3892

Phone(262) 474-8600

Sole ProprietorNo

Medical School CMSTufts University School Of MedicineGraduated 2010

Enumeration DateApril 27, 2010

Last NPPES UpdateFebruary 3, 20263 updates tracked since enumeration

NPPES CertifiedFebruary 3, 2026

✔ NPI 1376860627 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in WI · 81704

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

N69W5269 COLUMBIA RD, Cedarburg, WI 53012

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Other Names 1

Former Name (1)Emily Rosene Md

Other Identifiers 1

Medicaid100265581WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, HealthPartners and more.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

Dr. Emily Valkenburgh M.d. 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 ID8123383668

PECOS Enrollment IDI20240306001785

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 Reassignments

Medicare enrollment records show Emily Valkenburgh reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Columbia St. Mary's Hospital Milwaukee, Inc

4.0 mi

Multi-Specialty

13111 N PORT WASHINGTON RD
Mequon, WI 53097

Reassigned Medicare billing, Wisconsin enrollment
Medicare enrollment name: Columbia St Marys Hospital Milwaukee Inc
856 clinicians in this Medicare group

NPI 1710928221 (414) 270-4932

Froedtert & the Medical College Of Wisconsin Community Physicians, Inc.

12 mi

Internal Medicine

W180N8000 TOWN HALL RD
Menomonee Falls, WI 53051

Reassigned Medicare billing, Wisconsin enrollment
2,294 clinicians in this Medicare group

NPI 1568787448 (262) 255-2500

The Medical College Of Wisconsin, Inc.

18 mi

Internal Medicine

8701 WATERTOWN PLANK RD
Milwaukee, WI 53226

Reassigned Medicare billing, Wisconsin enrollment
3,983 clinicians in this Medicare group

NPI 1699720086 (414) 955-7101

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

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.

26 services22 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

18 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53012 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 2

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

JENNA ANNE JUNG

Physician Assistant

N69W5269 COLUMBIA RD
CEDARBURG, WI 53012

Ozaukee County (262) 474-8600

JULIE E MOSSBERG MD

Pediatrics

N69W5269 COLUMBIA RD
CEDARBURG, WI 53012

Ozaukee County (262) 474-8600

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 Valkenburgh's NPI number?

The NPI number for Emily Valkenburgh is 1376860627. It was assigned to this individual provider in the NPPES registry on April 27, 2010. The provider is also known as Emily Rosene MD.

Where is Emily Valkenburgh located?

Emily Valkenburgh practices at N69w5269 Columbia Rd, Cedarburg, WI 53012. The listed phone number is (262) 474-8600.

What is Emily Valkenburgh's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Emily Valkenburgh enrolled in Medicare?

Yes. Emily Valkenburgh 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 organizations bill Medicare for Emily Valkenburgh's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Emily Valkenburgh reassigns Medicare benefits to 3 organizations: Columbia St. Mary's Hospital Milwaukee, Inc (Mequon, WI), Froedtert & the Medical College Of Wisconsin Community Physicians, Inc. (Menomonee Falls, WI) and The Medical College Of Wisconsin, Inc. (Milwaukee, WI). Each 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 Valkenburgh's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Emily Valkenburgh accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, HealthPartners and Network Health list Emily Valkenburgh 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 Valkenburgh was last updated on February 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.