Individual provider Active NPI

Laura A Wroge, PA-C

  • Physician Assistant
  • Highland, IL
National Provider Identifier
1972907848
Registry record updated May 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085005359 Issued in IL
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

Updated by the provider on May 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150113001777 IL Practitioner - Physician Assistant 1153645585 Reassigns benefits to 5 organizations

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
Telemedico Physicians Pulmonary SCGroup PAC ID 6608294400, 17 clinicians
Telemedico Physicians SCGroup PAC ID 6901103647, 22 clinicians

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 100Reported as apm
Quality
85.98
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
085005359ILMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Telemedico Physicians Pulmonary SC CurrentSince Sep 15, 2025 Accepting new patients
Telemedico Physicians SC CurrentSince Sep 15, 2025 Accepting new patients
HSHS Medical Group Inc CurrentSince May 1, 2023 Accepting new patients
HSHS Medical Group Inc CurrentSince May 1, 2023 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.

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

Verify at the official NPI Registry.