Individual provider Active NPI

Elizabeth A Roberts, MD

  • Family Medicine Physician
  • Viroqua, WI
National Provider Identifier
1295835049
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
3457 Issued in AK
Practice address
407 S Main St
Viroqua, WI 54665-4000
Phone
(608) 637-4750
Fax
(608) 637-3120
NPI assigned
Sep 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 55242-20 WI
Family Medicine Physician 207Q00000X 3457 AK Primary

Addresses

Primary practice location

407 S Main St
Viroqua, WI 54665-4000

Mailing address

407 S Maiin St - Ste 400
Viroqua, WI 54665-4000
Phone (608) 637-4750

Other practice location 1

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

Other identifiers 1

IdentifierTypeStateIssuer
MD8248MedicaidAK

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110718000029 WI Practitioner - Family Practice 0749349561 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Minnesota Medical School, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bellin Memorial Hospital IncGroup PAC ID 8820900749, 685 clinicians

Practice addresses (Care Compare)

3263 Eaton Rd
Green Bay, WI 54311-6830
Phone (920) 433-6700

Hospital & facility affiliations

  • Soldiers Grove Health Services Nursing home, Soldiers Grove, WI, CCN 525622

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3457AKMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vernon Memorial Healthcare, Inc. CurrentSince Aug 1, 2011 Accepting new patients
Bellin Memorial Hospital Inc Family Medicine Current Accepting new patients
Vernon Memorial Healthcare, Inc CurrentSince Aug 1, 2011 Accepting new patients
Bellin Memorial Hospital Inc Family Medicine CurrentSince Jul 10, 2024 Accepting new patients
Bellin Memorial Hospital Inc Family Medicine CurrentSince Jul 10, 2024 Accepting new patients

Locations

744 S Webster Ave
Green Bay, WI 54301
Phone (920) 433-6025

3263 Eaton Rd
Green Bay, WI 54311
Phone (920) 433-6000

507 S Main St
Viroqua, WI 54665
Phone (608) 637-2101

407 S Main St
Viroqua, WI 54665
Phone (608) 637-3195

407 S Main St
Ste 400
Viroqua, WI 54665
Phone (608) 637-3174

Interoperability endpoints

  • Direct secure messaging: eroberts947780@direct.emplifyhealth.org
  • Direct secure messaging: eroberts56974@direct.gundersenhealth.org

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783382400000",
    "number": "1295835049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 S MAIIN ST - STE 400",
            "city": "VIROQUA",
            "state": "WI",
            "postal_code": "546654000",
            "telephone_number": "608-637-4750",
            "fax_number": "608-637-3120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 S MAIN ST",
            "city": "VIROQUA",
            "state": "WI",
            "postal_code": "546654000",
            "telephone_number": "608-637-4750",
            "fax_number": "608-637-3120"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1836 South Ave",
            "address_purpose": "LOCATION",
            "city": "LA Crosse",
            "state": "WI",
            "postal_code": "546015429",
            "country_code": "US",
            "telephone_number": "608-782-7300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "ELIZABETH",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-22",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "55242-20",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AK",
            "license": "3457",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MD8248",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Viroqua, WI

Sources for this page

Verify at the official NPI Registry.