MARY LOU ROETHEL (MSN,NP-C,APNP) – Family Nurse Practitioner, NPI 1083927412

MARY LOU ROETHEL (MSN,NP-C,APNP) is a healthcare provider. based in Sheboygan, Wisconsin. specializing in Family Nurse Practitioner. They hold the professional credentials MSN,NP-C,APNP. They hold a License No. 4078-33 (WI). The NPI Number for MARY LOU ROETHEL (MSN,NP-C,APNP) is 1083927412

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
MARY LOU ROETHEL (MSN,NP-C,APNP)
NPI
1083927412
Phone
(920) 496-4700
Address
1621 N TAYLOR DR
Enumeration Date
14 July 2010
Last Update Date
8 December 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9204574858
Graduation Year
2010 (16 years ago)
PAC ID
6800078494
Group Practice PAC ID
8325931652
Professional Enrollment ID
I20110302000809
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

Provider Addresses for MARY LOU ROETHEL (MSN,NP-C,APNP)

  • 1621 N TAYLOR DR

    SUITE 300

    SHEBOYGAN, WI 530811990

    Phone: (920) 496-4700

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
81003Automated urinalysis test217134$0
99213Established patient office or other outpatient visit, 20-29 minutes189118$0
51798Ultrasound measurement of bladder capacity after voiding10082$0
36415Insertion of needle into vein for collection of blood sample5951$0
99212Established patient office or other outpatient visit, 10-19 minutes5224$0
View full utilization report →

Insurance plans in this area (ZIP 53081)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8325931652View full group profile
NameSpecialtyState
Diagnostic Radiology, Interventional RadiologyWI
-WI
Diagnostic Radiology, Interventional RadiologyWI
Diagnostic Radiology, Interventional RadiologyWI
-WI
-WI
Cardiovascular Disease (Cardiology)WI
-WI
Qualified AudiologistWI
Cardiovascular Disease (Cardiology), Internal MedicineWI

Reviews

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Frequently asked questions

How is MARY LOU ROETHEL (MSN,NP-C,APNP) identified in CMS data?
CMS-hosted NPPES data lists MARY LOU ROETHEL (MSN,NP-C,APNP) with NPI 1083927412.
Is MARY LOU ROETHEL (MSN,NP-C,APNP) still practicing?
MARY LOU ROETHEL (MSN,NP-C,APNP) is currently listed as active in the public NPI registry.
What taxonomy line describes MARY LOU ROETHEL (MSN,NP-C,APNP)?
For research purposes, treat MARY LOU ROETHEL (MSN,NP-C,APNP) as Family Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect MARY LOU ROETHEL (MSN,NP-C,APNP) on a map?
Expect Sheboygan, Wisconsin as a primary anchor for MARY LOU ROETHEL (MSN,NP-C,APNP) unless the record lists multiple sites.
Why does MARY LOU ROETHEL (MSN,NP-C,APNP) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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