Mary Lou Roethel, MSN,NP-C,APNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4078-33 Issued in WI

Practice address

1621 N Taylor Dr
Suite 300
Sheboygan, WI 53081-1990

Phone

(920) 496-4700

NPI assigned

Jul 14, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Merit-based Incentive Payment System (MIPS)

Final score

94.81 of 100Reported as apm

Quality

85.98

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing

State licenses

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

{
    "created_epoch": "1279065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323302400000",
    "number": "1083927412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1621 N TAYLOR DR",
            "address_2": "SUITE 300",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530811990",
            "telephone_number": "920-496-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1621 N TAYLOR DR",
            "address_2": "SUITE 300",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530811990",
            "telephone_number": "920-496-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROETHEL",
        "first_name": "MARY",
        "middle_name": "LOU",
        "credential": "MSN,NP-C,APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-14",
        "last_updated": "2011-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "4078-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Ann Rodriguez, ACNP-BC
• Cynthia Ann Roeder, L.P.N.
• Julie A Roehrborn, MD
• Christine Roenitz, RPH
• Grant Michael Roethel
• Avery L Rognerud, LPC
• Morgan Rohde, SAC-IT
• Sabrina Roll, LMT
• Alexis Lee Romanini, RN
• Stacey Lynn Rooker, DPT

• Family Nurse Practitioner in Sheboygan, WI
• Providers in Sheboygan, WI by specialty
• Family Nurse Practitioner in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.