Individual provider Active NPI

Kevin A Rossiter, M.D.

  • Nephrology Physician
  • La Crosse, WI
National Provider Identifier
1093784332
Registry record updated Nov 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
1394 Issued in WI
Practice address
1910 South Ave
La Crosse, WI 54601-5467
Phone
(608) 782-7300
NPI assigned
Mar 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 1394 WI Primary
Nephrology Physician 207RN0300X MED-PHYS-LIC-88219 MT

Addresses

Primary practice location

1910 South Ave
La Crosse, WI 54601-5467

Mailing address

1836 South Ave
La Crosse, WI 54601-5429
Phone (608) 782-7300

Other practice location 1

3055 N Reserve St Ste D
Missoula, MT 59808-1395
Phone (406) 327-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, MT, WI3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20050315000946 MD Practitioner - NephrologyPractitioner - Internal Medicine 4880669993 Reassigns benefits to 1 organization
I20200702002396 MT Practitioner - Nephrology 4880669993 Reassigns benefits to 1 organization
I20211116003086 WI Practitioner - Nephrology 4880669993 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Rutgers, Robert Woood Johnson Medical School, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Providence Health and Services MtGroup PAC ID 6608786306, 358 clinicians

Practice addresses (Care Compare)

3055 N Reserve St
Suite D
Missoula, MT 59808-1395
Phone (406) 327-7000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MED-PHYS-LIC-88219MTMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gundersen Lutheran Medical Center, Inc Nephrology CurrentSince Nov 15, 2021 Accepting new patients
Providence Health & Services Mt CurrentSince Sep 5, 2025 Accepting new patients
Providence Health & Services Mt CurrentSince Sep 5, 2025 Accepting new patients
Providence Health & Services Mt Current Accepting new patients
Covenant Nephrology LLC Nephrology CurrentSince Oct 6, 2019 Accepting new patients
University of Maryland St. Joseph Medical Group, LLC CurrentSince Dec 16, 2018 Accepting new patients
University of Maryland St. Joseph Medical Group, LLC CurrentSince Dec 16, 2018 Accepting new patients
Gundersen Lutheran Medical Center, Inc CurrentSince Nov 15, 2021 Accepting new patients
Gundersen Lutheran Medical Center Inc Current Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Franklin Square Hospital Center, Inc. Past Accepting new patients
Helixcare Medical Group, LLC Past Accepting new patients
Upmc Western Maryland Health Services, LLC Nephrology Past Accepting new patients

Locations

7601 Osler Dr
Towson, MD 21204
Phone (410) 337-1150

3055 N Reserve St
Ste D
Missoula, MT 59808
Phone (406) 327-7000

500 W Broadway St
Ste 320
Missoula, MT 59802

1836 South Ave
La Crosse, WI 54601
Phone (608) 788-8102

1910 South Ave
La Crosse, WI 54601
Phone (608) 775-2287

Interoperability endpoints

  • Direct secure messaging: krossiter590474@direct.emplifyhealth.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 13

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763251200000",
    "number": "1093784332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1836 SOUTH AVE",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546015429",
            "telephone_number": "608-782-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 SOUTH AVE",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546015467",
            "telephone_number": "608-782-7300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3055 N Reserve St Ste D",
            "address_purpose": "LOCATION",
            "city": "Missoula",
            "state": "MT",
            "postal_code": "598081395",
            "country_code": "US",
            "telephone_number": "406-327-7000",
            "fax_number": "406-329-1927",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSSITER",
        "first_name": "KEVIN",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2025-11-16",
        "certification_date": "2025-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "WI",
            "license": "1394",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MT",
            "license": "MED-PHYS-LIC-88219",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Crosse, WI

Sources for this page

Verify at the official NPI Registry.