DEBORAH A SETTERSTROM CNM
NPI 1467526848
Advanced Practice Midwife in Monroe, WI
About Deborah A Setterstrom Cnm NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DEBORAH A SETTERSTROM CNM (NPI 1467526848) is an individual advanced practice midwife in Monroe, Wisconsin, licensed in Wisconsin (84958) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS, is affiliated with The Monroe Clinic, and is a graduate of Other (1982).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Deborah A Setterstrom Cnm 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.
Medicare Billing Reassignment
Medicare enrollment records show Deborah Setterstrom reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Monroe, WI 53566
- Reassigned Medicare billing, Wisconsin and Illinois enrollments
- Also billed through NPI 1831254036 (Illinois)
- 376 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
The Monroe Clinic
Acute Care Hospitals · Monroe, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 53566 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Deborah Setterstrom's NPI number?
The NPI number for Deborah Setterstrom is 1467526848. It was assigned to this individual provider in the NPPES registry on November 20, 2006.
Where is Deborah Setterstrom located?
Deborah Setterstrom practices at 515 22nd Ave, Monroe, WI 53566. The listed phone number is (608) 324-2000.
What is Deborah Setterstrom's specialty?
The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.
Is Deborah Setterstrom enrolled in Medicare?
Yes. Deborah Setterstrom 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 organization bills Medicare for Deborah Setterstrom's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Deborah Setterstrom reassigns Medicare benefits to The Monroe Clinic, Inc. (Monroe, WI). 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 Deborah Setterstrom's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Deborah Setterstrom accept?
Health plans from Anthem Blue Cross and Blue Shield, Dean Health Plan and Quartz list Deborah Setterstrom 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 Deborah Setterstrom affiliated with any hospitals?
According to CMS data, Deborah Setterstrom is affiliated with The Monroe Clinic.
When was this NPI record last updated?
The NPPES record for Deborah Setterstrom was last updated on December 24, 2020. 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.