Active NPI
Rebecca A. La Rock, PAC
- Physician Assistant
- Waukesha, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 3710
- Practice address
- 1111 Delafield Street
Suite 311
Waukesha, WI 53188 - Phone
- (262) 544-4411
- Fax
- (262) 650-3856
- NPI assigned
- Sep 15, 2015
- Last updated
- Feb 23, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 3710 | WI | Primary |
Addresses
Primary practice location
1111 Delafield Street
Suite 311
Waukesha, WI 53188
Mailing address
1260 Sentry Dr
Ste 140
Waukesha, WI 53186-5990
Phone (262) 524-1024
Other names 1
- Rebecca A. Michalek
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2015
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
240 Maple Ave
Mukwonago, WI 53149-8475
Phone (262) 928-0620
725 American Ave
Waukesha, WI 53188-5031
Phone (262) 928-5400
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nephrology Associates SC | Current | Accepting new patients | |
| Moreland OB-GYN Associates S C | Past | Accepting new patients | |
| Prohealth Medical Group Inc | Past | Accepting new patients |
Locations
611 Sherman Ave E
Fort Atkinson, WI 53538
Phone (920) 563-6667
1260 Sentry Dr
Ste 140
Waukesha, WI 53186
Phone 2625241024300
Interoperability endpoints
- rlarock46147@direct.phci.org
Organizations & group practices 4
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.
-
- Hospitalist Physician
- Waukesha, WI
- NPI 1528544608
-
dba Nephrology Associates of Waukesha, SC - Fort Atkinson
- Specialist
- Fort Atkinson, WI
- NPI 1326222423
-
- Specialist
- Waukesha, WI
- NPI 1780638114
-
- Family Medicine Physician
- Waukesha, WI
- NPI 1790720613
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Waukesha, WI
- NPI 1629056890
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614038400000",
"number": "1245609742",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1260 SENTRY DR",
"address_2": "STE 140",
"city": "WAUKESHA",
"state": "WI",
"postal_code": "531865990",
"telephone_number": "262-524-1024",
"fax_number": "262-524-8767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 DELAFIELD STREET",
"address_2": "SUITE 311",
"city": "WAUKESHA",
"state": "WI",
"postal_code": "53188",
"telephone_number": "262-544-4411",
"fax_number": "262-650-3856"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LA ROCK",
"first_name": "REBECCA",
"middle_name": "A.",
"credential": "PAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-15",
"last_updated": "2021-02-23",
"certification_date": "2021-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WI",
"license": "3710",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "REBECCA",
"last_name": "MICHALEK",
"middle_name": "A.",
"credential": "PAC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Waukesha, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.