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TANNER J BOMMERSBACH MD
NPI 1770088676
Psychiatry & Neurology - Child & Adolescent Psychiatry in Madison, WI

Active since March 24, 2018PECOS EnrolledAccepts Medicare Assignment
6001 RESEARCH PARK BLVD, MADISON, WI 53719(608) 232-3171(608) 262-9246 Get Directions Write a Review

NPPES record last updated: December 12, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 12, 2024, Jul 17, 2024, Jul 5, 2024 and 2 more (5 updates tracked since 2018).

About Tanner J Bommersbach Md NPPES

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

TANNER J BOMMERSBACH MD (NPI 1770088676) is an individual child & adolescent psychiatry provider in Madison, Wisconsin, licensed in Wisconsin (84021) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS, maintains a secondary practice location in Rochester, and is a graduate of Mayo Medical School (2018).

NPPES Registry Identity

NPI1770088676
Entity TypeIndividualMale
Primary Taxonomy2084P0804X
Provider Legal NameTANNER J BOMMERSBACHCredential: MD
Location Address6001 RESEARCH PARK BLVDMadison, WI 53719-1176
Mailing Address7974 Uw Health CtMiddleton, WI 53562-5531
Phone(608) 232-3171
Fax(608) 262-9246
Sole ProprietorNo
Medical School CMSMayo Medical SchoolGraduated 2018
Enumeration DateMarch 24, 2018
Last NPPES UpdateDecember 12, 20245 updates tracked since enumeration
NPPES CertifiedDecember 12, 2024
✔ NPI 1770088676 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
Licenses✔ Licensed in WI · 84021✔ Licensed in MN · 70965
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
6001 RESEARCH PARK BLVD, Madison, WI 53719
Open in Google Maps ↗

Secondary Practice Location 1

Location 1200 1st St SWRochester, MN 55905-0001 · Phone (507) 284-2511

Accepted Insurance

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

Tanner J Bommersbach 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 ID4183977820
PECOS Enrollment IDI20240726001721
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 Reassignment

Medicare enrollment records show Tanner Bommersbach reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of Wisconsin Medical Foundation, Inc
3.8 mi
Multi-Specialty
7974 UW HEALTH COURT
Middleton, WI 53562
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2,832 clinicians in this Medicare group
NPI 1598784555 (608) 829-5485

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

SHARON K. FINLAYSON NP
Nurse Practitioner
6001 RESEARCH PARK BLVD
MADISON, WI 53719
Dane County (608) 232-3333
DR. JESSE DAVID COOK
Psychologist (Clinical)
6001 RESEARCH PARK BLVD
MADISON, WI 53719
Dane County (608) 232-3171
STUART W JONES M.D.
Psychiatry & Neurology (Psychiatry)
6001 RESEARCH PARK BLVD
MADISON, WI 53719
Dane County (608) 232-3171
TRACEY LEONE SMITH PHD
Psychologist
6001 RESEARCH PARK BLVD
MADISON, WI 53719
Dane County (608) 263-6100
OR RAIZMAN VELASQUEZ MD, MPH
Psychiatry & Neurology (Psychiatry)
6001 RESEARCH PARK BLVD
MADISON, WI 53719
Dane County (608) 232-3171
WENDI E MARIEN
Psychologist
6001 RESEARCH PARK BLVD
MADISON, WI 53719
Dane County (608) 263-6100
STEPHEN J WEILER MD
Psychiatry & Neurology (Psychiatry)
6001 RESEARCH PARK BLVD
MADISON, WI 53719
Dane County (608) 263-6100
MICHAEL THALASINOS MS-LMFT
Marriage & Family Therapist
6001 RESEARCH PARK BLVD
MADISON, WI 53719
Dane County (608) 263-6100

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 Tanner Bommersbach's NPI number?

The NPI number for Tanner Bommersbach is 1770088676. It was assigned to this individual provider in the NPPES registry on March 24, 2018.

Where is Tanner Bommersbach located?

Tanner Bommersbach practices at 6001 Research Park Blvd, Madison, WI 53719. The listed phone number is (608) 232-3171.

What is Tanner Bommersbach's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Tanner Bommersbach enrolled in Medicare?

Yes. Tanner Bommersbach 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 Tanner Bommersbach's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tanner Bommersbach reassigns Medicare benefits to University Of Wisconsin Medical Foundation, Inc (Middleton, 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 Tanner Bommersbach's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tanner Bommersbach accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Dean Health Plan, Group Health Cooperative-SCW and HealthPartners and 2 other insurers list Tanner Bommersbach 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 Tanner Bommersbach was last updated on December 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.