Mary Lou Roethel, MSN,NP-C,APNP - Medicare Nurse Practitioner in Sheboygan, WI

Mary Lou Roethel, MSN,NP-C,APNP is a medicare enrolled "Nurse Practitioner - Family" in Sheboygan, Wisconsin. She graduated from nursing school in 2010 and has 14 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice St. Nicholas Hospital-sisters Of The Third Order Of St Francis and her current practice location is 1621 N Taylor Dr, Suite 300, Sheboygan, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 496-4700.

Mary Lou Roethel is licensed to practice in Wisconsin (license number 4078-33) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1083927412.

Contact Information

Mary Lou Roethel, MSN,NP-C,APNP
1621 N Taylor Dr, Suite 300,
Sheboygan, WI 53081-1990
(920) 496-4700
Not Available

Map and Direction




Provider's Profile

Full NameMary Lou Roethel
GenderFemale
SpecialityNurse Practitioner
Experience14 Years
Location1621 N Taylor Dr, Sheboygan, Wisconsin
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mary Lou Roethel graduated from nursing school in 2010
  NPI Data:
  • NPI Number: 1083927412
  • Provider Enumeration Date: 07/14/2010
  • Last Update Date: 12/08/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 6800078494
  • Enrollment ID: I20110302000809

Medical Identifiers

Medical identifiers for Mary Lou Roethel such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083927412NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 4078-33 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Nicholas HospitalSheboygan, WIHospital
St Vincent HospitalGreen bay, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
St. Nicholas Hospital-sisters Of The Third Order Of St Francis8325931652151

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mary Lou Roethel allows following entities to bill medicare on her behalf.
Entity NameSt. Nicholas Hospital-sisters Of The Third Order Of St Francis
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275799413
PECOS PAC ID: 8325931652
Enrollment ID: O20040202001172

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mary Lou Roethel is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mary Lou Roethel, MSN,NP-C,APNP
1621 N Taylor Dr, Suite 300,
Sheboygan, WI 53081-1990

Ph: (920) 496-4700
Mary Lou Roethel, MSN,NP-C,APNP
1621 N Taylor Dr, Suite 300,
Sheboygan, WI 53081-1990

Ph: (920) 496-4700

Reviews and Comments


Nurse Practitioner Nurses in Sheboygan, WI

Erin Jessie Holzman,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2414 Kohler Memorial Dr, Sheboygan, WI 53081
Phone: 920-457-4461    
Mrs. Doris U Theune, MS RN CS
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2920 Superior Ave, Sheboygan, WI 53081
Phone: 920-453-5414    Fax: 920-803-2990
Dr. Holly Ann Bartlein, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1411 North Taylor Dr., Sheboygan, WI 53081
Phone: 920-457-4858    
Dr. Amanda Beinemann, AGPCNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3100 Superior Ave, Sheboygan, WI 53081
Phone: 920-459-8300    
Pamela A Higgins, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3400 Union Ave, Sheboygan, WI 53081
Phone: 920-828-2700    Fax: 920-828-2705
Jennifer L Thickens, APNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3100 Superior Ave, Sheboygan, WI 53081
Phone: 920-496-4700    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.