Elizabeth L. Bailey, P.A.

Individual provider Active NPI Physician Assistant · Beloit, WI

NPI 1992196729 · NPPES record last updated Oct 6, 2016

Key facts

NPI
1992196729
Entity type
Individual (NPI type 1)
Primary specialty
Physician Assistant 363A00000X
License
3748-23 (WI)
Practice address
1905 E Huebbe Pkwy
Beloit Health System Inc.
Beloit, WI 53511-1842
Phone
(608) 364-2200
Fax
(608) 363-7374
NPI assigned
Feb 16, 2015
Sex
Female
Sole proprietor
No

Organizations & group practices 13

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.

Hospital & facility affiliations 1

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

Medicare Care Compare profile

Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Swedishamerican Hospital (386 clinicians)

Practice addresses (Care Compare)

1401 E State St
Rockford, IL 61104-2315
Phone (815) 489-4400

209 9TH St
Suite 200
Rockford, IL 61104-2235
Phone (779) 696-2750

6824 Newburg Rd
Sa Valley
Rockford, IL 61108-4330
Phone (779) 696-7610

Hospital & facility affiliations

  • Uw Health Hospital · Rockford, IL · CCN 140228

Merit-based Incentive Payment System (MIPS)

Final score
81.51 of 100 (group)
Quality
83.2
Promoting interoperability
77
Improvement activities
40
Cost
71.7

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in IL, WI
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20150514002719 IL Practitioner - Physician Assistant 7517287550 Reassigns benefits to 1 organization
I20160804001772 WI Practitioner - Physician Assistant 7517287550 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
085.005081ILMDPhysician Assistant
3748-23WIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Beloit Clinic, S.C. Current Accepting new patients
Swedishamerican Hospital Current
since Jun 28, 2023
Accepting new patients
Swedishamerican Hospital Current
since Jun 28, 2023
Accepting new patients
Beloit Health System, Inc Current
since Jul 1, 2016
Accepting new patients
Beloit Health System Inc Current
since Jul 1, 2016
Accepting new patients

Locations

1401 E State St
Rockford, IL 61104
Phone (815) 489-4267

6824 Newburg Rd
Rockford, IL 61108
Phone (779) 696-7610

1905 E Huebbe Pkwy
Beloit, WI 53511
Phone (608) 364-2293

1735 Madison Rd
Beloit, WI 53511
Phone (608) 363-7510

1969 W Hart Rd
Beloit, WI 53511
Phone (608) 364-5011

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 085.005081 IL
Physician Assistant 363A00000X 3748-23 WI Yes

Addresses

Primary practice location

1905 E Huebbe Pkwy
Beloit Health System Inc.
Beloit, WI 53511-1842

Mailing address

1905 E Huebbe Pkwy
Beloit Health System Inc.
Beloit, WI 53511-1842
Phone (414) 290-6720

Other identifiers

IdentifierTypeStateIssuer
100043748MedicaidWI

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 6, 2016.

{
    "created_epoch": "1424044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475712000000",
    "number": "1992196729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 E HUEBBE PKWY",
            "address_2": "BELOIT HEALTH SYSTEM INC.",
            "city": "BELOIT",
            "state": "WI",
            "postal_code": "535111842",
            "telephone_number": "414-290-6720",
            "fax_number": "414-290-6755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 E HUEBBE PKWY",
            "address_2": "BELOIT HEALTH SYSTEM INC.",
            "city": "BELOIT",
            "state": "WI",
            "postal_code": "535111842",
            "telephone_number": "608-364-2200",
            "fax_number": "608-363-7374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "ELIZABETH",
        "middle_name": "L.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-16",
        "last_updated": "2016-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085.005081",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "3748-23",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100043748",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beloit, WI

All providers in Beloit, WI · Physician Assistant in Wisconsin

Sources for this page

Verify at the official NPI Registry.