REBECCA A. LA ROCK (PAC) – Physician Assistant, NPI 1245609742

REBECCA A. LA ROCK (PAC) is a healthcare provider. based in Waukesha, Wisconsin. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PAC. They hold a License No. 3710 (WI). The NPI Number for REBECCA A. LA ROCK (PAC) is 1245609742

Main info

Female
11 Years Of Experience
Name
REBECCA A. LA ROCK (PAC)
NPI
1245609742
Phone
(262) 524-1024
Address
1260 SENTRY DR
Enumeration Date
15 September 2015
Last Update Date
23 February 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2629280620
Graduation Year
2015 (11 years ago)
PAC ID
8426337528
Group Practice PAC ID
1153670054
Professional Enrollment ID
I20161114000297
Address ID
WI531498475MU240XXAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:10State licenses:1Digital endpointsOther names

3,678 PHYSICIAN ASSISTANT in WI

Provider Addresses for REBECCA A. LA ROCK (PAC)

  • 1260 SENTRY DR

    STE 140

    WAUKESHA, WI 531865990

    Phone: (262) 524-1024

    Fax: (262) 524-8767

    Type: Mailing

  • 1111 DELAFIELD STREET

    SUITE 311

    WAUKESHA, WI 53188

    Phone: (262) 544-4411

    Fax: (262) 650-3856

    Type: Mailing

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.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-11-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20161114000297IPhysician AssistantWITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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
99214Established patient office or other outpatient visit, 30-39 minutes2827$0
99203New patient office or other outpatient visit, 30-44 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 53186)

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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: 1153670054View full group profile
NameSpecialtyState
Internal MedicineWI
Family PracticeWI
Internal Medicine, HospitalistWI
Internal Medicine, HospitalistWI
Internal Medicine, HospitalistWI
Internal MedicineWI
Internal MedicineID
Internal MedicineWI
Hospitalist, Internal MedicineUT
Internal MedicineWI

Reviews

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Frequently asked questions

Is REBECCA A. LA ROCK (PAC) listed with a National Provider Identifier?
Yes — REBECCA A. LA ROCK (PAC) has NPI 1245609742 on file in the registry.
Is REBECCA A. LA ROCK (PAC) shown as active in public data?
Registry records indicate REBECCA A. LA ROCK (PAC) maintains an active NPI.
What expertise is attributed to REBECCA A. LA ROCK (PAC)?
REBECCA A. LA ROCK (PAC)'s specialty line reads Physician Assistant. Clinical services aligned with this taxonomy classification.
Is REBECCA A. LA ROCK (PAC) located near Waukesha?
REBECCA A. LA ROCK (PAC) currently maps to Waukesha, Wisconsin in this extract.
What does 3 location(s) imply?
3 practice locations appear in the available data.

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