Individual provider Active NPI

Patrice D Rogstad, H.I.S.

  • Hearing Instrument Specialist
  • Eau Claire, WI
National Provider Identifier
1043482839
Registry record updated Aug 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
1285 Issued in WI
Practice address
2215 E Clairemont Ave
Suite 2
Eau Claire, WI 54701-4772
Phone
(715) 831-0289
Fax
(715) 831-4722
NPI assigned
Apr 1, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X 1285 WI Primary

Addresses

Primary practice location

2215 E Clairemont Ave
Suite 2
Eau Claire, WI 54701-4772

Mailing address

2215 E Clairemont Ave
Suite 2
Eau Claire, WI 54701-4772
Phone (715) 831-0289

Other identifiers 1

IdentifierTypeStateIssuer
42839500MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1285WIMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Everclear Hearing Products Hearing Instrument Specialist CurrentSince May 18, 2017 Accepting new patients

Locations

2215 E Clairemont Ave
Ste 5
Eau Claire, WI 54701
Phone (715) 831-0289

2215 E Clairemont Ave
Ste 2
Eau Claire, WI 54701
Phone (715) 831-0289

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1207008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629763200000",
    "number": "1043482839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 E CLAIREMONT AVE",
            "address_2": "SUITE 2",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547014772",
            "telephone_number": "715-831-0289",
            "fax_number": "715-831-4722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 E CLAIREMONT AVE",
            "address_2": "SUITE 2",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547014772",
            "telephone_number": "715-831-0289",
            "fax_number": "715-831-4722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGSTAD",
        "first_name": "PATRICE",
        "middle_name": "D",
        "credential": "H.I.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-01",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "WI",
            "license": "1285",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42839500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eau Claire, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.