Reagan Roelli, CF-SLP
Individual provider Active NPI Speech-Language Pathologist · Darlington, WI
NPI 1043052236 · NPPES record last updated Jun 10, 2024
Key facts
- NPI
- 1043052236
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 6608-154 (WI)
- Practice address
- 133 Performance Dr
Darlington, WI 53530-9393 - Phone
- (608) 776-4413
- NPI assigned
- Jun 10, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 9
Medicare Care Compare profile
- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Southwest Health Center Inc
Practice addresses (Care Compare)
1400 Eastside Rd
Platteville, WI 53818-9800
Phone 60834823312263
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240705000833 | WI | Practitioner - Qualified Speech Language Pathologist | 4880138544 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwest Health Center, Inc | Current | Accepting new patients | |
| Southwest Health Center, Inc. | Current |
Accepting new patients | |
| Southwest Health Center, Inc. | Current |
Accepting new patients |
Locations
2388 State Road 80
Cuba City, WI 53807
Phone (608) 744-2767
133 Performance Dr
Darlington, WI 53530
Phone (608) 776-2443
1400 Eastside Rd
Platteville, WI 53818
Phone (608) 342-4712
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 6608-154 | WI | Yes |
Addresses
Primary practice location
133 Performance Dr
Darlington, WI 53530-9393
Mailing address
1400 Eastside Rd
Platteville, WI 53818-9800
Phone (608) 348-2331
Other practice location 1
1400 Eastside Rd
Platteville, WI 53818-9800
Phone (608) 348-2331
Other practice location 2
2388 State Road 80
Cuba City, WI 53807-9308
Phone (608) 744-2767
Other providers in Darlington, WI
- Redbird Medical Supply, Inc.
- Michelle L. Reisen-Garvey
- Stephani M Rickard
- Michael Edward Robiolio
- Michele A. Roelli
- Thomas Eldon Rohs
- Jessica A Runde
- Rural Medical Ambulance Service
- Nicolas Rodolfo Sanhueza Castillo
- Robert E Schmus
All providers in Darlington, WI · Speech-Language Pathologist in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 10, 2024. 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.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.