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MICHELLE MARIE ALLBAUGH APNP
NPI 1457014607
Nurse Practitioner - Critical Care Medicine in Menomonee Falls, WI

Active since October 14, 2021PECOS EnrolledAccepts Medicare Assignment
W180N8085 TOWN HALL RD, MENOMONEE FALLS, WI 53051(262) 251-1000 Get Directions Write a Review

NPPES record last updated: July 20, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 20, 2024, Oct 14, 2021 (2 updates tracked since 2021).

About Michelle Marie Allbaugh Apnp NPPES

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

MICHELLE MARIE ALLBAUGH APNP (NPI 1457014607) is an individual critical care medicine provider in Menomonee Falls, Wisconsin, licensed in Wisconsin (11325-33) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS, is affiliated with Community Memorial Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1457014607
Entity TypeIndividualFemale
Primary Taxonomy363LC0200X
Provider Legal NameMICHELLE MARIE ALLBAUGHCredential: APNP
Location AddressW180N8085 TOWN HALL RDMenomonee Falls, WI 53051-3518
Mailing Address1306 N 64th StWauwatosa, WI 53213-2930 · (608) 604-9416
Phone(262) 251-1000
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateOctober 14, 2021
Last NPPES UpdateJuly 20, 20242 updates tracked since enumeration
NPPES CertifiedJuly 20, 2024
✔ NPI 1457014607 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Critical Care MedicinePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LC0200X
License✔ Licensed in WI · 11325-33
W180N8085 TOWN HALL RD, Menomonee Falls, WI 53051
Open in Google Maps ↗

Other Names 1

Former Name (1)Michelle Marie Breininger

Accepted Insurance

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

Michelle Marie Allbaugh Apnp 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 ID5496149551
PECOS Enrollment IDI20220307000876
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 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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
21 services16 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Community Memorial Hospital

Acute Care Hospitals · Menomonee Falls, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520103
LocationW180 N8085 Town Hall RdMenomonee Falls, WI 53051 · Waukesha County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53051 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.

DEBRA J CASPER NP
Nurse Practitioner (Acute Care)
W180N8085 TOWN HALL RD
MENOMONEE FALLS, WI 53051
Waukesha County (262) 257-3510
MR. ERIC J BACHAR R.PH.
Pharmacist
W180N8085 TOWN HALL RD
MENOMONEE FALLS, WI 53051
Waukesha County (262) 257-3070
DANIEL WILLIAM FLANAGAN ACNPC-BC
Nurse Practitioner (Acute Care)
W180N8085 TOWN HALL RD
MENOMONEE FALLS, WI 53051
Waukesha County (262) 251-1000
ROCHELLE A SOHL MD
Obstetrics & Gynecology
W180N8085 TOWN HALL RD
MENOMONEE FALLS, WI 53051
Waukesha County (262) 251-1000
MS. KRISTIN KRUGER SANDEN MS, CGC
Genetic Counselor, MS
W180N8085 TOWN HALL RD
MENOMONEE FALLS, WI 53051
Waukesha County (262) 257-5080
SARAH GOERKE MS, RD, CDCES
Dietitian, Registered
W180N8085 TOWN HALL RD
MENOMONEE FALLS, WI 53051
Waukesha County (262) 257-3644
AMMAR HAQ AA
Anesthesiologist Assistant
W180N8085 TOWN HALL RD, ANESTHESIOLOGY
MENOMONEE FALLS, WI 53051
Waukesha County (262) 257-5100
JENNIFER AGUIRRE
Dietitian, Registered
W180N8085 TOWN HALL RD
MENOMONEE FALLS, WI 53051
Waukesha County (262) 257-3638

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 Michelle Allbaugh's NPI number?

The NPI number for Michelle Allbaugh is 1457014607. It was assigned to this individual provider in the NPPES registry on October 14, 2021. The provider is also known as Michelle Marie Breininger.

Where is Michelle Allbaugh located?

Michelle Allbaugh practices at W180n8085 Town Hall Rd, Menomonee Falls, WI 53051. The listed phone number is (262) 251-1000.

What is Michelle Allbaugh's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Critical Care Medicine, with taxonomy code 363LC0200X.

Is Michelle Allbaugh enrolled in Medicare?

Yes. Michelle Allbaugh 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 Michelle Allbaugh accept?

Health plans from Anthem Blue Cross and Blue Shield and Network Health list Michelle Allbaugh 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 Michelle Allbaugh affiliated with any hospitals?

According to CMS data, Michelle Allbaugh is affiliated with Community Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Michelle Allbaugh was last updated on July 20, 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.