Individual provider Active NPI

Scott J Rotar, CRNA

  • Certified Registered Nurse Anesthetist
  • Woodruff, WI
National Provider Identifier
1376586099
Registry record updated Apr 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
051474 Issued in WI
Practice address
240 Maple St
Woodruff, WI 54568-0470
Phone
(715) 892-4835
NPI assigned
Jun 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 127205-030 WI
Certified Registered Nurse Anesthetist 367500000X 051474 WI Primary

Addresses

Primary practice location

240 Maple St
Woodruff, WI 54568-0470

Mailing address

240 Maple St
Woodruff, WI 54568-0470
Phone (715) 892-4835

Other identifiers 1

IdentifierTypeStateIssuer
43401700MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040519000877 WI Practitioner - Certified Registered Nurse Anesthetist (Crna) 2365433364 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Clinics of Wisconsin SCGroup PAC ID 5092842658, 4 clinicians
Howard Young Medical Center Inc of Woodruff WisconsinGroup PAC ID 4183519606, shared by 3 NPIs, 55 clinicians

Practice addresses (Care Compare)

200 Division St
Suite J
Stevens Point, WI 54481-1843
Phone (715) 544-1774

240 Maple St
Woodruff, WI 54568-9190
Phone (715) 356-8000

Hospital & facility affiliations

  • Howard Young Medical Center Hospital, Woodruff, WI, CCN 520091

Merit-based Incentive Payment System (MIPS)

Final score
86.59 of 100Reported as group
Quality
80.64
Promoting interoperability
100
Improvement activities
40
Cost
74.66

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
127205-030WIMDRegistered Nurse
51474WIMDMedical Oncology Physician
051474WIMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Aspirus Medford Hospital & Clinics, Inc. Current Accepting new patients
Aspirus Medford Hospital & Clinics, Inc. CurrentSince Feb 1, 2022 Accepting new patients
The Howard Young Medical Center, Inc. CurrentSince Sep 6, 2023 Accepting new patients
Divine Savior Healthcare, Inc. CurrentSince Oct 1, 2021 Accepting new patients
Aspirus Medford Hospital & Clinics, Inc. CurrentSince Feb 1, 2022 Accepting new patients
Divine Savior Healthcare, Inc. CurrentSince Oct 1, 2021 Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince Aug 1, 2022 Accepting new patients
The Howard Young Medical Center, Inc. Nurse Anesthetist, Certified Registered CurrentSince Nov 6, 2023 Accepting new patients
The Howard Young Medical Center, Inc. Current Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince Aug 1, 2022 Accepting new patients
Premier Spine Group, S.C. CurrentSince Aug 1, 2024 Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

1400 W Ice Lake Rd
Iron River, MI 49935
Phone (906) 265-6121

400 W Glen St
Crandon, WI 54520
Phone (715) 478-3318

201 Hospital Rd
Eagle River, WI 54521
Phone (715) 477-3000

135 S Gibson St
Medford, WI 54451
Phone (715) 748-8100

2817 New Pinery Rd
Portage, WI 53901
Phone (608) 745-4598

2251 N Shore Dr
Ste 100
Rhinelander, WI 54501
Phone (715) 361-2074

520 Vincent St
Stevens Point, WI 54481
Phone (715) 544-1774

200 Division St
Ste J
Stevens Point, WI 54481
Phone (715) 544-1774

401 W Mohawk Dr
Ste 100
Tomahawk, WI 54487
Phone (715) 453-7700

411 Westwood Dr
Wausau, WI 54401
Phone (715) 479-0374

240 Maple St
Woodruff, WI 54568
Phone (715) 356-8000

611 Veterans Pkwy
Woodruff, WI 54568
Phone (715) 358-8600

Organizations & group practices 12

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 3

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": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649721600000",
    "number": "1376586099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 MAPLE ST",
            "city": "WOODRUFF",
            "state": "WI",
            "postal_code": "545680470",
            "telephone_number": "715-892-4835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 MAPLE ST",
            "city": "WOODRUFF",
            "state": "WI",
            "postal_code": "545680470",
            "telephone_number": "715-892-4835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTAR",
        "first_name": "SCOTT",
        "middle_name": "J",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2022-04-12",
        "certification_date": "2022-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "127205-030",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WI",
            "license": "051474",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43401700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodruff, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.