DR. ELAINE MARIE SOREM MD
NPI 1629167085
Psychiatry & Neurology - Psychiatry in Elkhorn, WI

Active since October 12, 2006PECOS EnrolledAccepts Medicare Assignment
1910 COUNTY ROAD NN, ELKHORN, WI 53121(262) 741-3200(262) 741-3217 Get Directions Write a Review

NPPES record last updated: March 13, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Elaine Marie Sorem Md NPPES

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

DR. ELAINE MARIE SOREM MD (NPI 1629167085) is an individual psychiatry provider in Elkhorn, Wisconsin, licensed in Wisconsin (29695-020) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with Waukesha Memorial Hospital, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (1987).

NPPES Registry Identity

NPI1629167085
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameDR. ELAINE MARIE SOREMCredential: MD
Location Address1910 COUNTY ROAD NNElkhorn, WI 53121-4454
Mailing AddressPo Box 1005Elkhorn, WI 53121-1005
Fax(262) 741-3217
Sole ProprietorNo
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 1987
Enumeration DateOctober 12, 2006
Last NPPES UpdateMarch 13, 2023
NPPES CertifiedMarch 13, 2023
NPI 1629167085 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License Licensed in WI · 29695-020
Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

1910 COUNTY ROAD NN, Elkhorn, WI 53121

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

Dr. Elaine Marie Sorem 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 ID8224036900
PECOS Enrollment IDI20061113000031
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.

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.
54 services24 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.
24 services18 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Waukesha Memorial Hospital

Acute Care Hospitals · Waukesha, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520008
Location725 American AveWaukesha, WI 53188 · Waukesha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53121 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
$163.24 typical visit price
range $53.90 – $163.24
Typical copayment $40.81 (range $13.47 – $40.81)
Most-billed visit code 99205
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.

Counselor (Addiction (Substance Use Disorder))
1910 COUNTY ROAD NN
ELKHORN, WI 53121
Community/Behavioral Health
1910 COUNTY ROAD NN
ELKHORN, WI 53121
Social Worker (Clinical)
1910 COUNTY ROAD NN
ELKHORN, WI 53121
Nurse Practitioner
1910 COUNTY ROAD NN
ELKHORN, WI 53121
Public Health or Welfare
1910 COUNTY ROAD NN
ELKHORN, WI 53121
Case Management
1910 COUNTY ROAD NN
ELKHORN, WI 53121
Counselor
1910 COUNTY ROAD NN
ELKHORN, WI 53121
Social Worker (Clinical)
1910 COUNTY ROAD NN
ELKHORN, WI 53121

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 Elaine Sorem's NPI number?

The NPI number for Elaine Sorem is 1629167085. It was assigned to this individual provider in the NPPES registry on October 12, 2006.

Where is Elaine Sorem located?

Elaine Sorem practices at 1910 County Road Nn, Elkhorn, WI 53121. The listed phone number is (262) 741-3200.

What is Elaine Sorem's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Elaine Sorem enrolled in Medicare?

Yes. Elaine Sorem 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 Elaine Sorem accept?

Health plans from CareSource (Common Ground Healthcare), Medica, Quartz and UnitedHealthcare list Elaine Sorem 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 Elaine Sorem affiliated with any hospitals?

According to CMS data, Elaine Sorem is affiliated with Waukesha Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Elaine Sorem was last updated on March 13, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.