MRS. ERICA RACHELLE BAUMGARTNER
NPI 1801260898
Nurse Practitioner - Family in New Castle, IN
About Mrs. Erica Rachelle Baumgartner NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. ERICA RACHELLE BAUMGARTNER (NPI 1801260898) is an individual family provider in New Castle, Indiana, licensed in Indiana (71006087A) and active in the NPI registry since November 2015. She is enrolled in Medicare PECOS, is affiliated with Henry County Memorial Hospital, and maintains a secondary practice location in Fishers.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 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
Mrs. Erica Rachelle Baumgartner 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 Erica Baumgartner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
New Castle, IN 47362
- Reassigned Medicare billing, Indiana enrollment
- 166 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.
Henry County Memorial Hospital
Acute Care Hospitals · New Castle, INPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 47362 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
NEW CASTLE, IN 47362
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 Erica Baumgartner's NPI number?
The NPI number for Erica Baumgartner is 1801260898. It was assigned to this individual provider in the NPPES registry on November 14, 2015.
Where is Erica Baumgartner located?
Erica Baumgartner practices at 152 Wittenbraker Ave, New Castle, IN 47362. The listed phone number is (812) 621-0453.
What is Erica Baumgartner's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Erica Baumgartner enrolled in Medicare?
Yes. Erica Baumgartner 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 Erica Baumgartner's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Erica Baumgartner reassigns Medicare benefits to Henry County Memorial Hospital (New Castle, IN). 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 Erica Baumgartner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Erica Baumgartner accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and UnitedHealthcare list Erica Baumgartner 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 Erica Baumgartner affiliated with any hospitals?
According to CMS data, Erica Baumgartner is affiliated with Henry County Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Erica Baumgartner was last updated on September 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Mrs. Erica Rachelle Baumgartner · NPI 1801260898
Family physician in New Castle, Indiana. Individual provider, active in the CMS NPPES registry since November 14, 2015.
## Identity
- **NPI:** 1801260898 (Entity type: Individual)
- **Enumerated:** November 14, 2015
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 71006087A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 152 WITTENBRAKER AVE, New Castle, IN 47362-5035
- **Phone:** (812) 621-0453
## 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:** Henry County Memorial Hospital (NPI 1851780415, New Castle, IN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** September 9, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1801260898) · Data from the CMS NPPES public registry.