CAROLINE HENSLEY MD
NPI 1679102537
Hospitalist in Madison, WI
About Caroline Hensley Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CAROLINE HENSLEY MD (NPI 1679102537) is an individual hospitalist provider in Madison, Wisconsin, licensed in Wisconsin (76303-20) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS, is affiliated with University Of Wi Hospitals & Clinics Authority, and is a graduate of University Of Cincinnati College Of Medicine (2020).
NPPES Registry Identity
Specialties & Licenses 3
Group Practice 1
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
Caroline Hensley 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.
Medicare Billing Reassignments
2Medicare enrollment records show Caroline Hensley reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Madison, WI 53715
- Reassigned Medicare billing, Wisconsin enrollment
- 124 clinicians in this Medicare group
Middleton, WI 53562
- Reassigned Medicare billing, Wisconsin enrollment
- 2,832 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.
University Of Wi Hospitals & Clinics Authority
Acute Care Hospitals · Madison, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 53792 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
MADISON, WI 53792
MADISON, WI 53792
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 Caroline Hensley's NPI number?
The NPI number for Caroline Hensley is 1679102537. It was assigned to this individual provider in the NPPES registry on April 3, 2020.
Where is Caroline Hensley located?
Caroline Hensley practices at 600 Highland Ave, Madison, WI 53792. The listed phone number is (608) 263-6400.
What is Caroline Hensley's specialty?
The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.
Is Caroline Hensley enrolled in Medicare?
Yes. Caroline Hensley 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 Caroline Hensley's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Caroline Hensley reassigns Medicare benefits to 2 organizations: Access Community Health Centers, Inc. (Madison, WI) and University Of Wisconsin Medical Foundation, Inc (Middleton, WI). 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 Caroline Hensley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Caroline Hensley accept?
Health plans from Group Health Cooperative-SCW, Quartz and UnitedHealthcare list Caroline Hensley 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 Caroline Hensley affiliated with any hospitals?
According to CMS data, Caroline Hensley is affiliated with University Of Wi Hospitals & Clinics Authority.
When was this NPI record last updated?
The NPPES record for Caroline Hensley was last updated on June 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Caroline Hensley, MD · NPI 1679102537
Hospitalist physician in Madison, Wisconsin. Individual provider, active in the CMS NPPES registry since April 3, 2020.
## Identity
- **NPI:** 1679102537 (Entity type: Individual)
- **Enumerated:** April 3, 2020
- **Primary specialty:** Hospitalist · taxonomy 208M00000X
- **State license:** 76303-20 (Wisconsin)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 600 HIGHLAND AVE, Madison, WI 53792-1708
- **Phone:** (608) 263-6400
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Access Community Health Centers, Inc. (NPI 1669654307, Madison, WI); University Of Wisconsin Medical Foundation, Inc (NPI 1598784555, Middleton, WI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Cincinnati College Of Medicine, class of 2020
## Record status
- **NPPES last updated:** June 30, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1679102537) · Data from the CMS NPPES public registry.