Individual provider Active NPI

Michele Darlene Rocke, FNP

  • Family Nurse Practitioner
  • Sussex, WI
National Provider Identifier
1609316728
Registry record updated Jan 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
7560-33 Issued in WI
Practice address
W227N6103 Sussex Rd
Sussex, WI 53089-3969
Phone
(715) 614-9497
NPI assigned
Mar 8, 2017
Last updated
Jan 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 7560-33 WI Primary

Addresses

Primary practice location

W227N6103 Sussex Rd
Sussex, WI 53089-3969

Mailing address

504 Lennox St
Rhinelander, WI 54501-2644
Phone (715) 614-9497

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170814001328 WI Practitioner - Nurse Practitioner 0547531337

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7560-33WIMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1488931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737417600000",
    "number": "1609316728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 LENNOX ST",
            "city": "RHINELANDER",
            "state": "WI",
            "postal_code": "545012644",
            "telephone_number": "715-614-9497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W227N6103 SUSSEX RD",
            "city": "SUSSEX",
            "state": "WI",
            "postal_code": "530893969",
            "telephone_number": "715-614-9497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCKE",
        "first_name": "MICHELE",
        "middle_name": "DARLENE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-08",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "7560-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sussex, WI

Sources for this page

Verify at the official NPI Registry.