Elizabeth Neubauer

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

8611-23 Issued in WI

Practice address

1461 W Main St
Whitewater, WI 53190-1568

Phone

(262) 472-6839

NPI assigned

Jul 9, 2025

Last updated

Oct 23, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Physician Assistant

Education

Other, 2025

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Rock River Community Clinic Inc

  • Federally Qualified Health Center (FQHC)
  • Whitewater, WI
  • NPI 1184220659
  Medicare reassignment NPD
• Rock River Community Clinic Inc

  • Federally Qualified Health Center (FQHC)
  • Watertown, WI
  • NPI 1427717115
  NPD

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

{
    "created_epoch": "1752019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761177600000",
    "number": "1497645519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1461 W MAIN ST STE B",
            "city": "WHITEWATER",
            "state": "WI",
            "postal_code": "531901568",
            "telephone_number": "262-472-6839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1461 W MAIN ST",
            "city": "WHITEWATER",
            "state": "WI",
            "postal_code": "531901568",
            "telephone_number": "262-472-6839"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "132 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Watertown",
            "state": "WI",
            "postal_code": "530983304",
            "country_code": "US",
            "telephone_number": "920-206-7797",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEUBAUER",
        "first_name": "ELIZABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-09",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "8611-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Kaye Miller, AGPCNP-BC
• Mindful Psychotherapy Services LLC
• David C Monk, O TR
• Jacob Morris
• Melissa Ruth Nelson Pinzino
• Craig L Nevermann, OD
• Newleaf Services LLC
• Randall W. Nodorft, D.C.
• Donald Michael Norman, PH.D., LPC, LMFT
• Roy Alan Nosek, DDS

• Physician Assistant in Whitewater, WI
• Providers in Whitewater, WI by specialty
• Physician Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2025; 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.