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DR. MARY ELIZABETH ANDERSON MD
NPI 1487662060
Obstetrics & Gynecology in Lake Geneva, WI

Active since August 03, 2006PECOS EnrolledAccepts Medicare Assignment
N2950 STATE ROAD 67, LAKE GENEVA, WI 53147(262) 245-4990(262) 245-2248 Get Directions Write a Review

NPPES record last updated: March 3, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 3, 2025, Oct 7, 2022, Nov 12, 2019 and 1 more (4 updates tracked since 2016).

About Dr. Mary Elizabeth Anderson Md NPPES

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

DR. MARY ELIZABETH ANDERSON MD (NPI 1487662060) is an individual obstetrics & gynecology provider in Lake Geneva, Wisconsin, licensed in Illinois (036144926) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Clinton, and is a graduate of Medical College Of Wisconsin (1999).

NPPES Registry Identity

NPI1487662060
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. MARY ELIZABETH ANDERSONCredential: MD
Location AddressN2950 STATE ROAD 67Lake Geneva, WI 53147
Mailing AddressN2950 State Road 67Lake Geneva, WI 53147-2655 · (262) 245-4990 · Fax (262) 245-2248
Phone(262) 245-4990
Fax(262) 245-2248
Sole ProprietorNo
Medical School CMSMedical College Of WisconsinGraduated 1999
Enumeration DateAugust 3, 2006
Last NPPES UpdateMarch 3, 20254 updates tracked since enumeration
NPPES CertifiedMarch 3, 2025
✔ NPI 1487662060 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in IL · 036144926
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
N2950 STATE ROAD 67, Lake Geneva, WI 53147
Open in Google Maps ↗

Secondary Practice Location 1

Location 1915 13th Ave NClinton, IA 52732-5067 · Phone (563) 243-2511

Other Identifiers 1

Medicaid1487662060WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare), Quartz, Wellmark Health Plan of Iowa, Inc..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. Mary Elizabeth Anderson Md 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 ID1052210762
PECOS Enrollment IDI20220127001810
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

14

Medicare enrollment records show Mary Anderson reassigns Medicare billing to 14 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mercy Health System Corporation
26 mi
Multi-Specialty
580 N WASHINGTON ST
Janesville, WI 53548
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,155 clinicians in this Medicare group
NPI 1598718603 (608) 741-7630
Fort Healthcare Inc
27 mi
Rural Health
611 SHERMAN AVE E
Fort Atkinson, WI 53538
  • Reassigned Medicare billing, Wisconsin enrollment
  • 298 clinicians in this Medicare group
NPI 1417450115 (920) 563-5571
Rockford Health Physicians
29 mi
Multi-Specialty
8201 E RIVERSIDE BLVD
Rockford, IL 61114
  • Reassigned Medicare billing, Illinois enrollment
  • 1,375 clinicians in this Medicare group
NPI 1043242886 (608) 314-2428
Watertown Physician Practices LLC
42 mi
Family Medicine
1507 DOCTORS CT
Watertown, WI 53094
  • Reassigned Medicare billing, Wisconsin enrollment
  • 215 clinicians in this Medicare group
NPI 1770964363 (920) 261-4111
Columbia St. Mary's Hospital Milwaukee, Inc
46 mi
Multi-Specialty
2350 N LAKE DR
Milwaukee, WI 53211
  • Reassigned Medicare billing, Wisconsin enrollment
  • Medicare enrollment name: Columbia St Marys Hospital Milwaukee Inc
  • 856 clinicians in this Medicare group
NPI 1023064482 (414) 585-1000
Ascension Medical Group-Southeast Wisconsin Inc
46 mi
Anesthesiology
2301 N LAKE DR
Milwaukee, WI 53211
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,343 clinicians in this Medicare group
NPI 1194473066 (414) 585-1000
Obhg Illinois Sc
65 mi
Obstetrics & Gynecology
3249 OAK PARK AVE
Berwyn, IL 60402
  • Reassigned Medicare billing, Illinois enrollment
  • 219 clinicians in this Medicare group
NPI 1700107216 (800) 967-2289
Riverside Health System
107 mi
Psychiatry
500 N WALL ST, SUITE 200
Kankakee, IL 60901
  • Reassigned Medicare billing, Illinois enrollment
  • 381 clinicians in this Medicare group
NPI 1336354430 (815) 937-1237
Osf Multi-Specialty Group
138 mi
Internal Medicine
8600 N STATE ROUTE 91
Peoria, IL 61615
  • Reassigned Medicare billing, Illinois enrollment
  • 2,944 clinicians in this Medicare group
NPI 1154908929 (309) 683-5050
Methodist Medical Center Of Illinois
142 mi
General Acute Care Hospital
221 NE GLEN OAK AVE
Peoria, IL 61636
  • Reassigned Medicare billing, Illinois enrollment
  • 693 clinicians in this Medicare group
NPI 1164474755 (309) 672-5522

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 53147 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
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.

JULIE A RICE LPC
Counselor (Professional)
N2950 STATE ROAD 67
LAKE GENEVA, WI 53147
Walworth County (800) 637-2901
DR. CULLEN TIMOTHY KEHOE DO
Emergency Medicine
N2950 STATE ROAD 67
LAKE GENEVA, WI 53147
Walworth County (262) 245-4990
ASHLEY E. BORO OT
Occupational Therapist
N2950 STATE ROAD 67
LAKE GENEVA, WI 53147
Walworth County (262) 245-4990
MARK E PFEIFER DPM
Podiatrist
N2950 STATE ROAD 67
LAKE GENEVA, WI 53147
Walworth County (262) 245-0535
MADALYN R DOUGLAS DPT
Physical Therapist
N2950 STATE ROAD 67
LAKE GENEVA, WI 53147
Walworth County (262) 245-4980
MS. LISA LYNN PILGARD RPH
Pharmacist
N2950 STATE ROAD 67
LAKE GENEVA, WI 53147
Walworth County (262) 245-2319
MITCHELL SHELEY MD
Emergency Medicine
N2950 STATE ROAD 67
LAKE GENEVA, WI 53147
Walworth County (608) 756-6871
CARLY DIANE TRIEBENSEE PA
Physician Assistant
N2950 STATE ROAD 67
LAKE GENEVA, WI 53147
Walworth County (262) 245-0535

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 Mary Anderson's NPI number?

The NPI number for Mary Anderson is 1487662060. It was assigned to this individual provider in the NPPES registry on August 3, 2006.

Where is Mary Anderson located?

Mary Anderson practices at N2950 State Road 67, Lake Geneva, WI 53147. The listed phone number is (262) 245-4990.

What is Mary Anderson's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Mary Anderson enrolled in Medicare?

Yes. Mary Anderson 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 Mary Anderson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Anderson reassigns Medicare benefits to 14 organizations: Mercy Health System Corporation (Janesville, WI), Fort Healthcare Inc (Fort Atkinson, WI), Rockford Health Physicians (Rockford, IL), Watertown Physician Practices LLC (Watertown, WI), Columbia St. Mary's Hospital Milwaukee, Inc (Milwaukee, WI) and 9 more organizations, listed in the Medicare section above. 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 Mary Anderson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mary Anderson accept?

Health plans from CareSource (Common Ground Healthcare), Quartz and Wellmark Health Plan of Iowa, Inc. list Mary Anderson 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 Mary Anderson was last updated on March 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.