Elizabeth Baehnk, FNP
Individual provider Active NPI Family Nurse Practitioner · Madison, WI
NPI 1972215465 · NPPES record last updated Aug 21, 2025
Key facts
- NPI
- 1972215465
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 13398 (WI)
- Practice address
- 6649 Odana Rd
Madison, WI 53719-1011 - Phone
- (608) 251-6060
- Fax
- (608) 251-3930
- NPI assigned
- Dec 16, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230316001804 | WI | Practitioner - Nurse Practitioner | 5092189944 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Procedures of Wisconsin S C | Current |
Accepting new patients |
Locations
6649 Odana Rd
Madison, WI 53719
Phone (608) 251-6060
Interoperability endpoints
- https://api.platform.athenahealth.com/22597/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 13398 | WI | Yes |
Addresses
Primary practice location
6649 Odana Rd
Madison, WI 53719-1011
Mailing address
6649 Odana Rd
Madison, WI 53719-1011
Phone (608) 251-6060
Other providers in Madison, WI
- Mary Beth Badke
- Jessica Badour
- Sukhwinder Kaur Badwal
- John Stephen Badylak
- Jean S. Bae
- Eric Baer
- Geoffrey S. Baer
- Carol L Baeseman
- Annie Baeten
- Sudeshna Bagchi
All providers in Madison, WI · Family Nurse Practitioner in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 21, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.