Michele A. Roelli, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

44873 Issued in WI

Practice address

Memorial Hospital of Lafayette County
800 Clay St
Darlington, WI 53530-1228

Phone

(608) 776-4466

Fax

(608) 776-5777

NPI assigned

Sep 16, 2005

Last updated

Mar 9, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Michele A. North Former name

Electronic endpoints 2

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Medical College of Wisconsin, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lafayette CountyGroup PAC ID 9436054772, shared by 7 NPIs, 27 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Agrace Hospicecare Hospice, Madison, WI, CCN 521505
• Lafayette Hospital and Clinics Hospital, Darlington, WI, CCN 521312
• The Monroe Clinic Hospital, Monroe, WI, CCN 520028
• Lafayette Manor Nursing home, Darlington, WI, CCN 525362

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: michele.roelli@mpmc.directbygreenway.com
• Direct secure messaging: mroelli10164@direct.monroeclinic.org
• Direct secure messaging: mroelli942481@direct.unitypoint.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lafayette County

  dba Lafayette Hospital and Clinics

  • Critical Access Hospital
  • Darlington, WI
  • NPI 1114987054
  Medicare reassignment NPD
• Lafayette County

  dba Emergency Medical Services of Lafayette County

  • Land Ambulance
  • Darlington, WI
  • NPI 1427648526
  NPD
• St Luke's Methodist Hospital

  • General Acute Care Hospital
  • Cedar Rapids, IA
  • NPI 1083708226
  NPD
• Lafayette County

  dba Lafayette Hospital and Clinics Primary Care Clinic Darlington

  • Rural Health Clinic/Center
  • Darlington, WI
  • NPI 1093232878
  NPD (past)
• Lafayette County

  dba Lafayette Hospital and Clinics Primary Care Clinic Shullsburg

  • Rural Health Clinic/Center
  • Shullsburg, WI
  • NPI 1285150045
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Agrace Hospicecare, Incorporated

  • Community Based Hospice Care Agency
  • Fitchburg, WI
  • NPI 1861503534
  Care Compare affiliation
• Lafayette County

  dba Lafayette Hospital and Clinics

  • Critical Access Hospital
  • Darlington, WI
  • NPI 1114987054
  Care Compare affiliation
• Lafayette County

  • Skilled Nursing Facility
  • Darlington, WI
  • NPI 1164408266

  Nursing home

  Care Compare affiliation
• Lafayette County

  dba Lafayette Hospital and Clinics

  • Medicare Defined Swing Bed Hospital Unit
  • Darlington, WI
  • NPI 1689787954
  Care Compare affiliation
• The Monroe Clinic, Inc.

  dba SSM Health Monroe Hospital

  • General Acute Care Hospital
  • Monroe, WI
  • NPI 1740291491
  Care Compare affiliation

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

{
    "created_epoch": "1126828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678320000000",
    "number": "1790770550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MEMORIAL HSOPITAL OF LAFAYETTE COUNTY",
            "address_2": "800 CLAY ST",
            "city": "DARLINGTON",
            "state": "WI",
            "postal_code": "535301228",
            "telephone_number": "608-776-4466",
            "fax_number": "608-776-5777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MEMORIAL HOSPITAL OF LAFAYETTE COUNTY",
            "address_2": "800 CLAY ST",
            "city": "DARLINGTON",
            "state": "WI",
            "postal_code": "535301228",
            "telephone_number": "608-776-4466",
            "fax_number": "608-776-5777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROELLI",
        "first_name": "MICHELE",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-16",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "44873-020",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "44873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mroelli10164@direct.monroeclinic.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "mroelli10164@direct.monroeclinic.org",
            "address_1": "515 22nd Aveneue",
            "address_2": "Monroe Clinic",
            "city": "Monroe",
            "state": "WI",
            "country_code": "US",
            "postal_code": "535661569",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://webproxyprd.monroeclinic.org/FHIR-PRD/api/FHIR/DSTU2/",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "515 22nd Aveneue",
            "address_2": "Monroe Clinic",
            "city": "Monroe",
            "state": "WI",
            "country_code": "US",
            "postal_code": "535661569",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MICHELE",
            "last_name": "NORTH",
            "middle_name": "A.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brittany Lynn Pusateri, MSW
• Redbird Medical Supply, Inc.
• Michelle L. Reisen-Garvey, PA
• Stephani M Rickard
• Michael Edward Robiolio, M. D.
• Reagan Roelli, CF-SLP
• Thomas Eldon Rohs, DDS
• Jessica A Runde
• Rural Medical Ambulance Service
• Nicolas Rodolfo Sanhueza Castillo, M.D.

• Family Medicine Physician in Darlington, WI
• Providers in Darlington, WI by specialty
• Family Medicine Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.