CHARLENE M BAUMGARTNER P.A.
NPI 1861466005
Physician Assistant in Watervliet, MI

Active since February 15, 2006PECOS Enrolled
100/100
CMS Quality Rating
400 MEDICAL PARK DR, WATERVLIET, MI 49098(269) 463-3600 Get Directions Write a Review

NPPES record last updated: November 19, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Charlene M Baumgartner P.a. NPPES

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

CHARLENE M BAUMGARTNER P.A. (NPI 1861466005) is an individual physician assistant in Watervliet, Michigan, licensed in Michigan (CB003338) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861466005
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameCHARLENE M BAUMGARTNERCredential: P.A.
Location Address400 MEDICAL PARK DRWatervliet, MI 49098-9225
Mailing Address400 Medical Park DrWatervliet, MI 49098-9225 · (269) 463-3600
Sole ProprietorNo
Enumeration DateFebruary 15, 2006
Last NPPES UpdateNovember 19, 2015
NPI 1861466005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MI · CB003338
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 5601003338 (MI)
400 MEDICAL PARK DR, Watervliet, MI 49098

Other Identifiers 1

Medicaid1861466005MI

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 (PECOS)

Charlene M Baumgartner P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49098 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality87.54
Promoting Interoperability100
Improvement Activities40

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.

Rehabilitation Unit
400 MEDICAL PARK DR
WATERVLIET, MI 49098
Clinical Neuropsychologist
400 MEDICAL PARK DR
WATERVLIET, MI 49098
Internal Medicine
400 MEDICAL PARK DR
WATERVLIET, MI 49098
Occupational Therapist
400 MEDICAL PARK DR
WATERVLIET, MI 49098
Specialist
400 MEDICAL PARK DR
WATERVLIET, MI 49098
Physical Medicine & Rehabilitation
400 MEDICAL PARK DR
WATERVLIET, MI 49098
Obstetrics & Gynecology
400 MEDICAL PARK DR, SUITE 200
WATERVLIET, MI 49098
Occupational Therapist (Physical Rehabilitation)
400 MEDICAL PARK DR
WATERVLIET, MI 49098

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 Charlene Baumgartner's NPI number?

The NPI number for Charlene Baumgartner is 1861466005. It was assigned to this individual provider in the NPPES registry on February 15, 2006.

Where is Charlene Baumgartner located?

Charlene Baumgartner practices at 400 Medical Park Dr, Watervliet, MI 49098. The listed phone number is (269) 463-3600.

What is Charlene Baumgartner's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Charlene Baumgartner enrolled in Medicare?

Yes. Charlene Baumgartner is registered in the Medicare PECOS enrollment system.

What insurance does Charlene Baumgartner accept?

Health plans from McLaren Health Plan Community and Priority Health list Charlene 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.

When was this NPI record last updated?

The NPPES record for Charlene Baumgartner was last updated on November 19, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.