Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Ellen Grace Barnstable, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1053948562

Mrs. Ellen Grace Barnstable, MD is a Dermatology in Lake Geneva, Wisconsin. Graduated from R Franklin University of Med & SCI/Chicago Medical School in 2020, 6 years ago. Practices with Aurora Medical Group, Inc, a 3,741-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Indiana and Wisconsin.

Years since qualifying
6
Trained at
R Franklin University of Med & SCI/Chicago Medical School
Licensed in
IN, WI
In the registry since
2020
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

146 E Geneva Sq
Lake Geneva, WI 53147-9695
Phone: (622) 249-5000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 545 Barnhill Dr, Indianapolis, IN 46202-5112 — (317) 278-6833
  • 2901 W Oklahoma Ave, Milwaukee, WI 53215-4329 — (414) 649-3323

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 83862-20 (WI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 11021938A (IN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1053948562
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 25, 2020
Last updated in NPPESNovember 6, 2024
Certification dateNovember 6, 2024
Mailing address146 E Geneva Sq, Lake Geneva, WI 53147-9695

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolR FRANKLIN UNIVERSITY OF MED & SCI/CHICAGO MEDICAL SCHOOL
Graduated 2020 (6 years in practice)
Group practice Aurora Medical Group, Inc. — 3741 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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