Individual provider Active NPI

Roxanne E Kleman, APNP

  • Nurse Practitioner
  • Madison, WI
National Provider Identifier
1629697719
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
10221 Issued in WI
Practice address
563 Chatham Ter
Madison, WI 53711-1500
Phone
(402) 440-6075
NPI assigned
Apr 9, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X MC6005878 WI
General Practice Registered Nurse 163WG0000X 197980 WI
Nurse Practitioner 363L00000X 10221 WI Primary

Addresses

Primary practice location

563 Chatham Ter
Madison, WI 53711-1500

Mailing address

563 Chatham Ter
Madison, WI 53711-1500
Phone (402) 440-6075

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address him@marshfieldclinichealthsystem.cernerdirect.com

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
I20201006002117 WI Practitioner - Nurse Practitioner 2365861630 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oak Medical SCGroup PAC ID 0042595175, 118 clinicians

Practice addresses (Care Compare)

8301 Old Sauk Rd
Middleton, WI 53562-4389
Phone (608) 662-8842

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
197980WIMDGeneral Practice Registered Nurse
10221WIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
MCHS Hospitals Inc CurrentSince Aug 31, 2020 Accepting new patients
MCHS Hospitals Inc CurrentSince Aug 31, 2020 Accepting new patients
Marshfield Clinic Inc CurrentSince Aug 31, 2020 Accepting new patients
Maple Medical SC CurrentSince Sep 1, 2024 Accepting new patients
MCHS Hospitals Inc Current Accepting new patients
Oak Medical SC CurrentSince Sep 1, 2024 Accepting new patients
Theoria Medical Nurse Practitioner CurrentSince Jul 8, 2024 Accepting new patients
Memorial Hospital Inc CurrentSince Aug 31, 2020 Accepting new patients

Locations

1000 Starr Ave
Eau Claire, WI 54703
Phone (715) 858-4850

3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200

8400 Sheridan Rd
Kenosha, WI 53143
Phone (262) 658-4141

1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111

8301 Old Sauk Rd
Middleton, WI 53562
Phone (608) 662-8842

251 Forest Ln
Montello, WI 53949
Phone (608) 297-2153

N3708 River Ave
Neillsville, WI 54456
Phone (715) 743-3101

1505 Orrin Rd
Prescott, WI 54021
Phone (715) 262-1107

N20W22961 Watertown Rd
Waukesha, WI 53186
Phone (262) 875-5070

Interoperability endpoints

  • Direct secure messaging: roxanne.cordova@marshfieldclinichealthsystem.cernerdirect.com
  • Direct secure messaging: him@marshfieldclinichealthsystem.cernerdirect.com

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1586390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1629697719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "563 CHATHAM TER",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537111500",
            "telephone_number": "402-440-6075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "563 CHATHAM TER",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537111500",
            "telephone_number": "402-440-6075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEMAN",
        "first_name": "ROXANNE",
        "middle_name": "E",
        "credential": "APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-09",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "WI",
            "license": "MC6005878",
            "primary": false
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "WI",
            "license": "197980",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "10221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "him@marshfieldclinichealthsystem.cernerdirect.com",
            "affiliation": "N",
            "address_1": "1000 N Oak Ave",
            "city": "Marshfield",
            "state": "WI",
            "country_code": "US",
            "postal_code": "544495702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.