Michele A. Roelli, MD
Individual provider Active NPI Family Medicine Physician · Darlington, WI
NPI 1790770550 · NPPES record last updated Mar 9, 2023
Key facts
- NPI
- 1790770550
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 44873 (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
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Medical College of Wisconsin, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Lafayette County
Practice addresses (Care Compare)
211 Bev Anderson Dr
Darlington, WI 53530-8801
Phone (608) 776-4466
Hospital & facility affiliations
- Agrace Hospicecare
- Lafayette Hospital and Clinics
- The Monroe Clinic
- Lafayette Manor
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041022000867 | WI | Practitioner - Family Practice |
1355318965 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44873 | WI | MD | Family Medicine Physician |
| 44873-020 | WI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Luke'S Methodist Hospital | Current | Accepting new patients | |
| Lafayette County | Current |
Accepting new patients | |
| Lafayette County | Current |
Accepting new patients | |
| Lafayette County | Past | Accepting new patients | |
| Lafayette County | Past | Accepting new patients | |
| Lafayette County | Family Medicine | Past | Accepting new patients |
Locations
800 Clay St
Darlington, WI 53530
Phone (608) 776-4466
211 Bev Anderson Dr
Darlington, WI 53530
Phone (608) 776-4466
Interoperability endpoints
- mroelli942481@direct.unitypoint.org
- michele.roelli@mpmc.directbygreenway.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 44873-020 | WI | |
| Family Medicine Physician | 207Q00000X | 44873 | WI | Yes |
Addresses
Primary practice location
Memorial Hospital of Lafayette County
800 Clay St
Darlington, WI 53530-1228
Mailing address
Memorial Hsopital of Lafayette County
800 Clay St
Darlington, WI 53530-1228
Phone (608) 776-4466
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34346000 | Medicaid | WI |
Other names
- Michele A. North
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mroelli10164@direct.monroeclinic.org | Direct | |
| FHIR URL | https://webproxyprd.monroeclinic.org/FHIR-PRD/api/FHIR/DSTU2/ | Other |
Other providers in Darlington, WI
- Brittany Lynn Pusateri
- Redbird Medical Supply, Inc.
- Michelle L. Reisen-Garvey
- Stephani M Rickard
- Michael Edward Robiolio
- Reagan Roelli
- Thomas Eldon Rohs
- Jessica A Runde
- Rural Medical Ambulance Service
- Nicolas Rodolfo Sanhueza Castillo
All providers in Darlington, WI · Family Medicine Physician in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 9, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.