Chelsey Marie Wallace-Bawden, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

7875-33 Issued in WI

Practice address

104 High St
Mineral Point, WI 53565-1289

Phone

(608) 987-2346

NPI assigned

Aug 15, 2017

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Upland Hills Health IncGroup PAC ID 3072415553, 97 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Upland Hills Home Health Home health agency, Dodgeville, WI, CCN 527078
• Agrace Hospicecare Hospice, Madison, WI, CCN 521505
• Upland Hills Health Hospital, Dodgeville, WI, CCN 521352
• SSM Health St Mary'S Hospital - Madison Hospital, Madison, WI, CCN 520083

Merit-based Incentive Payment System (MIPS)

Final score

91.64 of 100Reported as group

Quality

97.3

Promoting interoperability

100

Improvement activities

40

Cost

74.83

Merit-based Incentive Payment System (MIPS)

Final score

80.26 of 100Reported as group

Quality

92.24

Promoting interoperability

100

Improvement activities

40

Cost

41.97

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cwallacebawden272726@direct-ehr-ssmhc.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Upland Hills Health Inc

  • Surgery Physician
  • Dodgeville, WI
  • NPI 1821258740
  Medicare reassignment Care Compare group NPD
• Upland Hills Health Inc

  • Certified Registered Nurse Anesthetist
  • Dodgeville, WI
  • NPI 1548582109
  NPD
• Upland Hills Health, Inc

  • Emergency Medicine Physician
  • Dodgeville, WI
  • NPI 1598163537
  NPD
• Upland Hills Health, Inc,

  • Rural Health Clinic/Center
  • Spring Green, WI
  • NPI 1922407139
  NPD
• Mineral Point Rescue Squad, Inc.

  • Intermediate Emergency Medical Technician
  • Mineral Point, WI
  • NPI 1215957824
  NPD (past)
• Upland Hills Health, Inc.

  • Medicare Defined Swing Bed Hospital Unit
  • Dodgeville, WI
  • NPI 1831280957
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Agrace Hospicecare, Incorporated

  • Community Based Hospice Care Agency
  • Fitchburg, WI
  • NPI 1861503534
  Care Compare affiliation
• SSM Health Care of Wisconsin, Inc.

  • General Acute Care Hospital
  • Madison, WI
  • NPI 1184621211
  Care Compare affiliation
• Upland Hills Health Inc

  • Surgery Physician
  • Dodgeville, WI
  • NPI 1821258740

  Hospital

  Care Compare affiliation
• Upland Hills Health, Inc

  • Community Based Hospice Care Agency
  • Dodgeville, WI
  • NPI 1659472397

  Hospital

  Care Compare affiliation
• Upland Hills Health, Inc

  • Family Medicine Physician
  • Highland, WI
  • NPI 1801971734

  Hospital

  Care Compare affiliation
• Upland Hills Health, Inc.

  • Family Medicine Physician
  • Highland, WI
  • NPI 1083958698

  Hospital

  Care Compare affiliation
• Upland Hills Health, Inc.

  • Family Medicine Physician
  • Montfort, WI
  • NPI 1356685960

  Hospital

  Care Compare affiliation
• Upland Hills Health, Inc.

  • Critical Access Hospital
  • Dodgeville, WI
  • NPI 1487745501
  Care Compare affiliation
• Upland Hills Health, Inc.

  • Home Health Agency
  • Dodgeville, WI
  • NPI 1619074978
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1502755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611187200000",
    "number": "1316463003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 HIGH ST",
            "city": "MINERAL POINT",
            "state": "WI",
            "postal_code": "535651289",
            "telephone_number": "608-987-2346",
            "fax_number": "608-987-2490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 HIGH ST",
            "city": "MINERAL POINT",
            "state": "WI",
            "postal_code": "535651289",
            "telephone_number": "608-987-2346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLACE-BAWDEN",
        "first_name": "CHELSEY",
        "middle_name": "MARIE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-15",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "7875-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "CWALLACEBAWDEN272726@DIRECT-EHR-SSMHC.COM",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CWALLACEBAWDEN272726@DIRECT-EHR-SSMHC.COM",
            "address_1": "104 High St",
            "city": "Mineral Point",
            "state": "WI",
            "country_code": "US",
            "postal_code": "535651289",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Bree Ann Reynolds
• Linda Marie Stoikes, N.P.
• Upland Hills Health, Inc.
• Upland Hills Health, Inc.
• Upland Point Corporation
• Kimberly A Wedig, RN
• Emily Wood

• Family Nurse Practitioner in Mineral Point, WI
• Providers in Mineral Point, WI by specialty
• Family Nurse Practitioner in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.