ELIZABETH BAUMGARTNER MD
NPI 1861122277
Emergency Medicine in Monroe, WI
About Elizabeth Baumgartner Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELIZABETH BAUMGARTNER MD (NPI 1861122277) is an individual emergency medicine provider in Monroe, Wisconsin, licensed in Wisconsin (85649) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS, is affiliated with Concord Hospital, and maintains a secondary practice location in Concord.
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
Elizabeth Baumgartner 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 Elizabeth Baumgartner reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Monroe, WI 53566
- Reassigned Medicare billing, Wisconsin enrollment
- 376 clinicians in this Medicare group
Muscoda, WI 53573
- Reassigned Medicare billing, Wisconsin enrollment
- 299 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 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Concord Hospital
Acute Care Hospitals · Concord, NHThe Monroe Clinic
Acute Care Hospitals · Monroe, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 53566 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Elizabeth Baumgartner's NPI number?
The NPI number for Elizabeth Baumgartner is 1861122277. It was assigned to this individual provider in the NPPES registry on June 16, 2022.
Where is Elizabeth Baumgartner located?
Elizabeth Baumgartner practices at 515 22nd Ave, Monroe, WI 53566. The listed phone number is (608) 324-1000.
What is Elizabeth Baumgartner's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Elizabeth Baumgartner enrolled in Medicare?
Yes. Elizabeth 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 organizations bill Medicare for Elizabeth Baumgartner's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Elizabeth Baumgartner reassigns Medicare benefits to 2 organizations: The Monroe Clinic, Inc. (Monroe, WI) and Memorial Hospital Of Boscobel (Muscoda, 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 Elizabeth Baumgartner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Elizabeth Baumgartner accept?
Health plans from Anthem Blue Cross and Blue Shield list Elizabeth 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 Elizabeth Baumgartner affiliated with any hospitals?
According to CMS data, Elizabeth Baumgartner is affiliated with Concord Hospital and The Monroe Clinic.
When was this NPI record last updated?
The NPPES record for Elizabeth Baumgartner was last updated on July 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Elizabeth Baumgartner, MD · NPI 1861122277
Emergency Medicine physician in Monroe, Wisconsin. Individual provider, active in the CMS NPPES registry since June 16, 2022.
## Identity
- **NPI:** 1861122277 (Entity type: Individual)
- **Enumerated:** June 16, 2022
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 85649 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 515 22ND AVE, Monroe, WI 53566-1569
- **Phone:** (608) 324-1000 · **Fax:** (608) 324-2469
## 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): The Monroe Clinic, Inc. (NPI 1386720548, Monroe, WI); Memorial Hospital Of Boscobel (NPI 1255620613, Muscoda, WI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Vermont College Of Medicine, class of 2022
## Record status
- **NPPES last updated:** July 30, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1861122277) · Data from the CMS NPPES public registry.