Rogers Behavioral Health Practice - Wisconsin SC – Psychiatry Physician, NPI 1699524751
Psychiatry Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Rogers Behavioral Health Practice - Wisconsin SC
1108 S Wildwood Ave
Sheboygan, WI 530814765
Phone: (800) 767-4411
Type: Location
4600 W Schroeder Dr
Brown Deer, WI 532236458
Phone: (800) 767-4411
Type: Location
3011 N Cedar Ridge Rd
Oconomowoc, WI 530664904
Phone: (800) 767-4411
Type: Location
9916 75th St Ste 205
Kenosha, WI 531427583
Phone: (800) 767-4411
Type: Location
4351 W College Ave Ste 300
Appleton, WI 549143928
Phone: (800) 767-4411
Type: Location
2424 S 102nd St
West Allis, WI 532272106
Phone: (800) 767-4411
Type: Location
4555 W Schroeder Dr
Brown Deer, WI 532231475
Phone: (800) 767-4411
Type: Location
406 Science Dr Ste 110
Madison, WI 537111097
Phone: (800) 767-4411
Type: Location
500 N 3rd St Ste 600
Wausau, WI 544034885
Phone: (800) 767-4411
Type: Location
818 State St
Manitowoc, WI 542204036
Phone: (800) 767-4411
Type: Location
5117 W Terrace Dr Ste 109
Madison, WI 537188360
Phone: (800) 767-4411
Type: Location
11101 W Lincoln Ave
West Allis, WI 532271133
Phone: (800) 767-4411
Type: Location
W277 Oakwood Dr
Delafield, WI 530181138
Phone: (800) 767-4411
Type: Location
1205 Corporate Center Dr
Oconomowoc, WI 530664844
Phone: (800) 767-4411
Type: Location
1230 Corporate Center Dr
Oconomowoc, WI 530664883
Phone: (800) 767-4411
Type: Location
34700 VALLEY RD
OCONOMOWOC, WI 530664500
Phone: (800) 767-4411
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: 2025-03-10
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20250310003530 | O | Clinic/Group Practice | WI | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 53081)
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