Connor James Roberts, MD
Individual provider Active NPI Family Medicine Physician · Howard, WI
NPI 1992201453 · NPPES record last updated Jul 26, 2021
Key facts
- NPI
- 1992201453
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 72544-20 (WI)
- Practice address
- 2793 Lineville Rd
Howard, WI 54313-7152 - Phone
- (920) 496-4700
- NPI assigned
- Apr 3, 2018
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 22
Hospital & facility affiliations 10
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- St Vincent Hospital-Hospital Sisters-Third Order of St Francis
Practice addresses (Care Compare)
2793 Lineville Rd
Green Bay, WI 54313-7152
Phone (920) 496-4700
Hospital & facility affiliations
- PRN Home Health and Therapy, LLC
- HSHS Home Care Wisconsin
- Unity Hospice
- Moments Hospice of Green Bay
- St Vincent Hospital
- St Marys Hospital Medical Ctr
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.81 of 100
- Quality
- 85.98
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
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 |
|---|---|---|---|---|
| I20210804000027 | WI | Practitioner - Family Practice | 7416371265 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 72544-20 | WI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Vincent Hospital-Hospital Sisters-Third Order of St Francis | Current |
Accepting new patients | |
| St Vincent Hospital-Hospital Sisters-Third Order of St Francis | Current |
Accepting new patients | |
| Prevea Clinic, Inc. | Family Medicine | Current |
Accepting new patients |
| St Nicholas Hospital-Sisters of the Third Order of St Francis | Current |
Accepting new patients | |
| St. Nicholas Hospital-Sisters of the Third Order of St Francis | Family Medicine | Current | Accepting new patients |
| Prevea Clinic, Inc. | Family Medicine | Current |
Accepting new patients |
| St Vincent Hospital-Hospital Sisters-Third Order of St Francis | Family Medicine | Current | Accepting new patients |
| St Nicholas Hospital-Sisters of the Third Order of St Francis | Current |
Accepting new patients |
Locations
1726 Shawano Ave
Green Bay, WI 54303
Phone (920) 432-6016
835 S Van Buren St
Green Bay, WI 54301
Phone (888) 901-7246
2793 Lineville Rd
Howard, WI 54313
3100 Superior Ave
Sheboygan, WI 53081
Phone (800) 472-6710
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | 72544-20 | WI | Yes |
Addresses
Primary practice location
2793 Lineville Rd
Howard, WI 54313-7152
Mailing address
2731 Main Ave
Kaukauna, WI 54130-3543
Phone (920) 213-6775
Other providers in Howard, WI
- Michelle Hatch
- Howard Ops, LLC
- New Dermatology Group LTD
- Jody Ossi
- Revitalize Counseling LLC
- Mara Anne Schwandt
- Leo S Seidel
- Lee Andrew Sivels
- Kayla Spars
- Walgreen Co
All providers in Howard, 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 Jul 26, 2021. 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.