Active NPI
Laura A Wroge, PA-C
- Physician Assistant
- Highland, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 085005359
- Practice address
- 12860 Troxler Ave
Highland, IL 62249-2898 - Phone
- (618) 651-2810
- NPI assigned
- Oct 21, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | MA059063 | PA | |
| Physician Assistant | 363A00000X | 085005359 | IL | Primary |
Addresses
Primary practice location
12860 Troxler Ave
Highland, IL 62249-2898
Mailing address
12860 Troxler Ave
Highland, IL 62249-2898
Phone (618) 651-2810
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lwroge112933@ewd.direct.hshs.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3330 Skokie Valley Rd
Suite 200
Highland Park, IL 60035-1041
Phone (847) 386-7744
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.81 of 100
- Quality
- 85.98
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 085005359 | IL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Telemedico Physicians Pulmonary SC | Current | Accepting new patients | |
| Telemedico Physicians SC | Current | Accepting new patients | |
| HSHS Medical Group Inc | Current | Accepting new patients | |
| HSHS Medical Group Inc | Current | Accepting new patients |
Locations
1 Annable Ct
Cahokia, IL 62206
Phone (618) 332-0114
601 W Lincoln Ave
Caseyville, IL 62232
Phone (618) 344-9355
490 W 16th Pl
Chicago Hts, IL 60411
Phone (708) 481-4444
1900 E Lake Shore Dr
Ste 330
Decatur, IL 62521
Phone (217) 423-2889
3354 Jerome Ln
East Saint Louis, IL 62206
Phone (618) 337-9400
6277 Center Grove Rd
Edwardsville, IL 62025
Phone (618) 288-1580
1101 E State St
Geneva, IL 60134
Phone (312) 519-9009
12860 Troxler Ave
Highland, IL 62249
Phone (618) 235-3687
3330 Skokie Valley Rd
Ste 200
Highland Park, IL 60035
Phone 8473867744202
1 Perryman St
Lebanon, IL 62254
Phone (618) 537-6165
901 N 10th St
Mascoutah, IL 62258
Phone (618) 556-2183
1512 N Green Mount Rd
O Fallon, IL 62269
Phone (618) 624-0100
2313 N Rockton Ave
Rockford, IL 61103
Phone (815) 964-2200
555 W Carpenter St
Springfield, IL 62702
Phone (217) 525-1880
727 N 17th St
Swansea, IL 62226
Phone (618) 234-3323
1405 N 2nd St
Swansea, IL 62226
Phone (618) 233-6625
393 E Edwardsville Rd
Wood River, IL 62095
Phone (618) 259-4111
Organizations & group practices 7
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.
-
dba Alteas Health
- Pulmonary Disease Physician
- Highland Park, IL
- NPI 1972115384
-
- Cardiovascular Disease Physician
- Highland Park, IL
- NPI 1912368150
-
- Geriatric Medicine (Internal Medicine) Physician
- Chicago Heights, IL
- NPI 1447039227
-
- Multi-Specialty Clinic/Center
- Springfield, IL
- NPI 1962644807
-
- Geriatric Medicine (Internal Medicine) Physician
- Lanham, MD
- NPI 1730713025
IL
-
dba HSHS Medical Group Family Medicine - Dieterich
- Rural Health Clinic/Center
- Dieterich, IL
- NPI 1033841192
-
- Internal Medicine Physician
- Springfield, IL
- NPI 1912330317
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683763200000",
"number": "1972907848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12860 TROXLER AVE",
"city": "HIGHLAND",
"state": "IL",
"postal_code": "622492898",
"telephone_number": "618-651-2810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12860 TROXLER AVE",
"city": "HIGHLAND",
"state": "IL",
"postal_code": "622492898",
"telephone_number": "618-651-2810"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WROGE",
"first_name": "LAURA",
"middle_name": "A",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-21",
"last_updated": "2023-05-11",
"certification_date": "2023-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": "MA059063",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IL",
"license": "085005359",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lwroge112933@ewd.direct.hshs.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/CCD/TXT",
"address_1": "12860 Troxler Ave",
"city": "Highland",
"state": "IL",
"country_code": "US",
"postal_code": "622492898",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Highland, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.