Individual provider Active NPI

Roger Dean Lovelace, PA-C

  • Physician Assistant
  • Marshfield, WI
National Provider Identifier
1770509598
Registry record updated Nov 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1991 Issued in WI
Practice address
1000 Oak Ave.
Marshfield, WI 54449-5777
Phone
(715) 389-7796
NPI assigned
Jul 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1991 WI Primary

Addresses

Primary practice location

1000 Oak Ave.
Marshfield, WI 54449-5777

Mailing address

1000 Oak Ave.
Marshfield, WI 54449-5777
Phone (715) 389-7796

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address him@marshfieldclinichealthsystem.cernerdirect.com Other

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
I20061215000388 WI Practitioner - Physician Assistant 9436158680 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marshfield Clinic IncGroup PAC ID 2264345206, 207 clinicians

Practice addresses (Care Compare)

1000 N Oak Ave
Marshfield, WI 54449-5703
Phone (715) 387-5511

3400 Ministry Pkwy
Weston, WI 54476-5220
Phone (715) 393-3000

3501 Golf Rd
Eau Claire, WI 54701-8028
Phone (715) 858-4200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.6 of 100Reported as group
Quality
62.55
Promoting interoperability
100
Improvement activities
40
Cost
76.03

Merit-based Incentive Payment System (MIPS)

Final score
80.58 of 100Reported as group
Quality
55.5
Promoting interoperability
100
Improvement activities
40
Cost
71.46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1991WIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
MCHS Hospitals Inc CurrentSince Mar 1, 2018 Accepting new patients
MCHS Hospitals Inc CurrentSince Mar 1, 2018 Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Nov 27, 2022 Accepting new patients
MCHS Hospitals Inc Current Accepting new patients
Marshfield Clinic Inc CurrentSince Aug 6, 2007 Accepting new patients
Lakeview Medical Center Inc of Rice Lake CurrentSince Nov 27, 2022 Accepting new patients
Memorial Hospital Inc CurrentSince Nov 27, 2022 Accepting new patients
Flambeau Hospital Inc CurrentSince Nov 27, 2022 Accepting new patients
Flambeau Hospital Inc CurrentSince Nov 27, 2022 Accepting new patients
Lakeview Medical Center Inc of Rice Lake CurrentSince Nov 27, 2022 Accepting new patients
Memorial Hospital Inc Past Accepting new patients

Locations

705 S University Ave
Beaver Dam, WI 53916
Phone (920) 885-6090

2116 Craig Rd
Eau Claire, WI 54701
Phone (715) 858-4500

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

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

1200 Port Arthur Rd
Ladysmith, WI 54848
Phone (715) 532-2300

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

3603 Schneider Ave SE
Menomonie, WI 54751
Phone (715) 233-6400

1102 S Center Ave
Merrill, WI 54452
Phone (715) 536-3399

390 Orbiting Dr
Mosinee, WI 54455
Phone (715) 693-9100

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

1700 W Stout St
Rice Lake, WI 54868
Phone (715) 236-6133

2727 Plaza Dr
Wausau, WI 54401
Phone (715) 847-3000

220 24th St S
Wisconsin Rapids, WI 54494
Phone (715) 424-8600

201 Liberty Dr
Wittenberg, WI 54499
Phone (715) 253-2119

Interoperability endpoints

  • Direct secure messaging: roger.lovelace@marshfieldclinichealthsystem.cernerdirect.com
  • Direct secure messaging: him@marshfieldclinichealthsystem.cernerdirect.com

Organizations & group practices 11

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 4

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": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668643200000",
    "number": "1770509598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 OAK AVE.",
            "city": "MARSHFIELD",
            "state": "WI",
            "postal_code": "544495777",
            "telephone_number": "715-389-7796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 OAK AVE.",
            "city": "MARSHFIELD",
            "state": "WI",
            "postal_code": "544495777",
            "telephone_number": "715-389-7796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOVELACE",
        "first_name": "ROGER",
        "middle_name": "DEAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2022-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "1991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "him@marshfieldclinichealthsystem.cernerdirect.com",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Other",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Other",
            "address_1": "1000 N Oak Ave",
            "city": "Marshfield",
            "state": "WI",
            "country_code": "US",
            "postal_code": "544495703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Marshfield, WI

Sources for this page

Verify at the official NPI Registry.