ELLEN HALLBERG
NPI 1942838941
Family Medicine in Milwaukee, WI

Q: What is Ellen Hallberg's NPI number?

The NPI number for Ellen Hallberg is 1942838941. It was assigned to this individual provider in the NPPES registry on March 27, 2020.

Q: What is Ellen Hallberg's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Ellen Hallberg was last updated on May 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since March 27, 2020PECOS EnrolledAccepts Medicare Assignment

1121 E NORTH AVE, MILWAUKEE, WI 53212(414) 267-6502(414) 267-3892 Get Directions Write a Review

NPPES record last updated: May 19, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 19, 2023, Mar 27, 2020 (2 updates tracked since 2020).

On this page

About Ellen Hallberg NPPES

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

ELLEN HALLBERG (NPI 1942838941) is an individual family medicine provider in Milwaukee, Wisconsin, licensed in Wisconsin (76267) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS, is affiliated with Waukesha Memorial Hospital, and maintains a secondary practice location in Milwaukee.

NPPES Registry Identity

NPI1942838941

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameELLEN HALLBERG

Location Address1121 E NORTH AVEMilwaukee, WI 53212-3515

Mailing Address1121 E North AveMilwaukee, WI 53212-3515 · (414) 267-6502 · Fax (414) 267-3892

Phone(414) 267-6502

Fax(414) 267-3892

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateMarch 27, 2020

Last NPPES UpdateMay 19, 20232 updates tracked since enumeration

NPPES CertifiedMay 19, 2023

✔ NPI 1942838941 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in WI · 76267

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1121 E NORTH AVE, Milwaukee, WI 53212

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Secondary Practice Location 1

Location 12555 N Dr Martin Luther King Jr DrMilwaukee, WI 53212-2709 · Phone (414) 372-8080

Other Identifiers 1

Medicaid1942838941WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Network Health, UnitedHealthcare.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

Ellen Hallberg 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 ID8022484286

PECOS Enrollment IDI20230803001345

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 3

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 hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

42 services16 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

20 services19 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

15 services15 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Waukesha Memorial Hospital

Acute Care Hospitals · Waukesha, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520008

Location725 American AveWaukesha, WI 53188 · Waukesha County

Emergency services Birthing friendly

Oconomowoc Memorial Hospital

Acute Care Hospitals · Oconomowoc, WI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520062

Location791 E Summit AveOconomowoc, WI 53066 · Waukesha County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53212 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

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

Most-billed visit code 99214

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 20

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

MARGARET A SUMINSKI BS

Case Manager/Care Coordinator

1121 E NORTH AVE, COLUMBIA ST MARY'S FAMILY MEDICINE
MILWAUKEE, WI 53212

Milwaukee County (414) 267-6502

MICHELLE ARNESON

Family Medicine

1121 E NORTH AVE
MILWAUKEE, WI 53212

Milwaukee County (414) 267-6502

VENESHIA NACOLE' MCKINNEY-WHITSON M.D.

Family Medicine

1121 E NORTH AVE, COLUMBIA-ST MARY'S FAMILY MEDICINE
MILWAUKEE, WI 53212

Milwaukee County (414) 267-6502

MATHEW DONALD ENGMANN DO

Family Medicine

1121 E NORTH AVE
MILWAUKEE, WI 53212

Milwaukee County (414) 267-6502

ANALY VILLAFUERTE

Nurse Practitioner (Family)

1121 E NORTH AVE
MILWAUKEE, WI 53212

Milwaukee County (414) 267-6500

DR. DAVID P JOHNSON MD

Family Medicine

1121 E NORTH AVE, COLUMBIA-ST. MARY'S FAMILY PRACTICE
MILWAUKEE, WI 53212

Milwaukee County (414) 267-6500

CHRISTINA E ELDREDGE MD

Family Medicine

1121 E NORTH AVE, COLUMBIA-ST. MARY'S FAMILY MEDICINE
MILWAUKEE, WI 53212

Milwaukee County (414) 267-6502

MS. SARAH CECELIA SANCHEZ M.D.

Family Medicine

1121 E NORTH AVE
MILWAUKEE, WI 53212

Milwaukee County (414) 267-6502

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 Ellen Hallberg's NPI number?

The NPI number for Ellen Hallberg is 1942838941. It was assigned to this individual provider in the NPPES registry on March 27, 2020.

Where is Ellen Hallberg located?

Ellen Hallberg practices at 1121 E North Ave, Milwaukee, WI 53212. The listed phone number is (414) 267-6502.

What is Ellen Hallberg's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Ellen Hallberg enrolled in Medicare?

Yes. Ellen Hallberg 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 Ellen Hallberg accept?

Health plans from Anthem Blue Cross and Blue Shield, Network Health and UnitedHealthcare list Ellen Hallberg 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 Ellen Hallberg affiliated with any hospitals?

According to CMS data, Ellen Hallberg is affiliated with Waukesha Memorial Hospital and Oconomowoc Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Ellen Hallberg was last updated on May 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.