Active NPI
Adam Jason Rockacy
- Anesthesiologist Assistant
- Appleton, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiologist Assistant
- License
- 543-17
- Practice address
- 1818 N Meade St
Appleton, WI 54911-3454 - Phone
- (920) 731-4101
- NPI assigned
- Oct 9, 2023
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Anesthesiologist Assistant | 367H00000X | 543-17 | WI | Primary |
Addresses
Primary practice location
1818 N Meade St
Appleton, WI 54911-3454
Mailing address
2834 N 82ND St
Milwaukee, WI 53222-4814
Phone (515) 601-1108
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI, MO
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology Assistant
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
615 S New Ballas Rd
Saint Louis, MO 63141-8221
Phone (314) 251-4687
Hospital & facility affiliations
- Mercy Hospital St Louis
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Associate of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 543-17 | WI | MD | Anesthesiologist Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Association of Hospital Anesthesiologists SC | Current | Accepting new patients | |
| Western Anesthesiology Associates, Inc. | Current | Accepting new patients |
Locations
339 Consort Dr
Ballwin, MO 63011
Phone (636) 386-7222
615 S New Ballas Rd
Saint Louis, MO 63141
Phone (314) 251-4687
1818 N Meade St
Appleton, WI 54911
Phone (920) 731-4101
736 Ford St
Kimberly, WI 54136
130 2nd St
#A107
Neenah, WI 54956
130 2nd St
Neenah, WI 54956
Phone (920) 729-2063
Organizations & group practices 2
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.
-
- Anesthesiology Physician
- Saint Louis, MO
- NPI 1275646754
-
- Anesthesiology Physician
- Neenah, WI
- NPI 1720076474
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1427098169
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1696809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705968000000",
"number": "1487435137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2834 N 82ND ST",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532224814",
"telephone_number": "515-601-1108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1818 N MEADE ST",
"city": "APPLETON",
"state": "WI",
"postal_code": "549113454",
"telephone_number": "920-731-4101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROCKACY",
"first_name": "ADAM",
"middle_name": "JASON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-10-09",
"last_updated": "2024-01-23",
"certification_date": "2024-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "367H00000X",
"taxonomy_group": "",
"desc": "Anesthesiologist Assistant",
"state": "WI",
"license": "543-17",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Appleton, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2024; 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.