MRS. MARGARET E BAKER PA-C
NPI 1881858157
Physician Assistant in Union Grove, WI

Active since July 15, 2008PECOS EnrolledAccepts Medicare Assignment
1120 MAIN ST, UNION GROVE, WI 53182(262) 878-4424(262) 631-8591 Get Directions Write a Review

NPPES record last updated: February 29, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Margaret E Baker Pa-c NPPES

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

MRS. MARGARET E BAKER PA-C (NPI 1881858157) is an individual physician assistant in Union Grove, Wisconsin, licensed in Wisconsin (2300-023) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1881858157
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. MARGARET E BAKERCredential: PA-C
Location Address1120 MAIN STUnion Grove, WI 53182-1328
Mailing Address1120 Main StUnion Grove, WI 53182-1328 · (262) 878-4424 · Fax (262) 631-8591
Fax(262) 631-8591
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateJuly 15, 2008
Last NPPES UpdateFebruary 29, 2024
NPPES CertifiedFebruary 29, 2024
NPI 1881858157 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in WI · 2300-023
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.
1120 MAIN ST, Union Grove, WI 53182

Other Names 1

Former Name (1)Margaret E Ventura

Other Identifiers 2

Other11869047Caqh
Medicaid43020800WI

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 and accepts Medicare assignment

Mrs. Margaret E Baker Pa-c 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 ID2961560024
PECOS Enrollment IDI20081020000162
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.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
273 services121 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
60 services60 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
48 services35 patients
Care management services for behavioral health conditions, 20 minutes or more clinical staff time directed by health care professional 99484
Care management for behavioral health involves a healthcare professional directing clinical staff to provide you with support for 20 minutes or more. This service can include planning your care, coordinating services, and managing your health conditions to improve your overall well-being.
29 services24 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
28 services14 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
21 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53182 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
1120 MAIN ST
UNION GROVE, WI 53182
Physician Assistant (Medical)
1120 MAIN ST
UNION GROVE, WI 53182
Physician Assistant (Medical)
1120 MAIN ST
UNION GROVE, WI 53182
Family Medicine
1120 MAIN ST
UNION GROVE, WI 53182
Family Medicine
1120 MAIN ST
UNION GROVE, WI 53182
Nurse Practitioner
1120 MAIN ST
UNION GROVE, WI 53182
Counselor (Professional)
1120 MAIN ST
UNION GROVE, WI 53182

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 Margaret Baker's NPI number?

The NPI number for Margaret Baker is 1881858157. It was assigned to this individual provider in the NPPES registry on July 15, 2008. The provider is also known as Margaret E Ventura.

Where is Margaret Baker located?

Margaret Baker practices at 1120 Main St, Union Grove, WI 53182. The listed phone number is (262) 878-4424.

What is Margaret Baker's specialty?

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

Is Margaret Baker enrolled in Medicare?

Yes. Margaret Baker 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.

What insurance does Margaret Baker accept?

Health plans from CareSource (Common Ground Healthcare), Medica, Network Health and Providence Health Plan list Margaret Baker 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 Margaret Baker was last updated on February 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.