ANDREA K MEHLBAUM
NPI 1417483322
Nurse Practitioner - Family in Rockford, IL

Active since May 11, 2017PECOS EnrolledAccepts Medicare Assignment
1340 CHARLES ST, SUITE 200, ROCKFORD, IL 61104(779) 696-8799 Get Directions Write a Review

NPPES record last updated: March 2, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 2, 2021, Jul 11, 2017, May 11, 2017 (3 updates tracked since 2017).

About Andrea K Mehlbaum NPPES

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

ANDREA K MEHLBAUM (NPI 1417483322) is an individual family provider in Rockford, Illinois, licensed in Illinois (209016159) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS, is affiliated with Uw Health, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1417483322
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameANDREA K MEHLBAUM
Location Address1340 CHARLES ST, SUITE 200Rockford, IL 61104-2200
Mailing AddressPo Box 78866Milwaukee, WI 53278-8866 · (779) 696-7150
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMay 11, 2017
Last NPPES UpdateMarch 2, 20213 updates tracked since enumeration
NPPES CertifiedMarch 2, 2021
NPI 1417483322 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in IL · 209016159
Also ListedRegistered NurseTaxonomy 163W00000X · License 041348454 (IL)
1340 CHARLES ST, Rockford, IL 61104

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

Andrea K Mehlbaum 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 ID2365713492
PECOS Enrollment IDI20170808000061
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 3

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.

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.
50 services38 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
39 services23 patients
Therapy procedure using a special bandage and vacuum pump, surface area 50.0 sq cm or less 97605
This procedure, known as Negative Pressure Wound Therapy, involves a special bandage and vacuum pump. The bandage covers your wound and the pump creates a vacuum, enhancing healing by removing excess fluid and promoting tissue growth. The surface area treated is 50.0 sq cm or less.
30 services12 patients

Hospital Affiliations CMS Care Compare

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

Uw Health

Acute Care Hospitals · Rockford, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140228
Location1401 East State StreetRockford, IL 61104 · Winnebago County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61104 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

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.

Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories A6550
DME-Other DME · category DE000N
1 supplier24 claims285 services$21.63 avg. paid by Medicare
Canister, disposable, used with suction pump, each A7000
DME-Other DME · category DE000N
1 supplier21 claims180 services$6.90 avg. paid by Medicare
Negative pressure wound therapy electrical pump, stationary or portable E2402
DME-Other DME · category DE000N
1 supplier22 claims22 services$782.44 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 20

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

Physical Therapist
1340 CHARLES ST, SUITE 100
ROCKFORD, IL 61104
Nurse Practitioner
1340 CHARLES ST
ROCKFORD, IL 61104
Nurse Practitioner
1340 CHARLES ST, STE 201
ROCKFORD, IL 61104
Orthopaedic Surgery (Sports Medicine)
1340 CHARLES ST, SUITE 100
ROCKFORD, IL 61104
Nurse Practitioner
1340 CHARLES ST, SUITE 300
ROCKFORD, IL 61104
Physical Therapist
1340 CHARLES ST, SUITE 100
ROCKFORD, IL 61104
Orthopaedic Surgery
1340 CHARLES ST, STE 100
ROCKFORD, IL 61104
Nurse Practitioner
1340 CHARLES ST
ROCKFORD, IL 61104

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 Andrea Mehlbaum's NPI number?

The NPI number for Andrea Mehlbaum is 1417483322. It was assigned to this individual provider in the NPPES registry on May 11, 2017.

Where is Andrea Mehlbaum located?

Andrea Mehlbaum practices at 1340 Charles St Suite 200, Rockford, IL 61104. The listed phone number is (779) 696-8799.

What is Andrea Mehlbaum's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Andrea Mehlbaum enrolled in Medicare?

Yes. Andrea Mehlbaum 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 Andrea Mehlbaum accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health and Aspirus Health Plan list Andrea Mehlbaum 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 Andrea Mehlbaum affiliated with any hospitals?

According to CMS data, Andrea Mehlbaum is affiliated with Uw Health.

When was this NPI record last updated?

The NPPES record for Andrea Mehlbaum was last updated on March 2, 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.