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MS. TRACY M ROESCH
NPI 1033117569
Dietitian, Registered in Lancaster, WI

Active since July 08, 2005
507 S MONROE ST, LANCASTER, WI 53813(608) 723-3262(605) 723-6325 Get Directions Write a Review

NPPES record last updated: January 25, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 25, 2023, Oct 25, 2019 (2 updates tracked since 2019).

About Ms. Tracy M Roesch NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. TRACY M ROESCH (NPI 1033117569) is an individual dietitian, registered in Lancaster, Wisconsin, licensed in Wisconsin (64-029) and active in the NPI registry since July 2005.

NPPES Registry Identity

NPI1033117569
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameMS. TRACY M ROESCH
Location Address507 S MONROE STLancaster, WI 53813-2054
Mailing Address507 S Monroe StLancaster, WI 53813-2099 · (608) 723-2143 · Fax (608) 723-7595
Phone(608) 723-3262
Fax(605) 723-6325
Sole ProprietorNo
Enumeration DateJuly 8, 2005
Last NPPES UpdateJanuary 25, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 25, 2023
✔ NPI 1033117569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in WI · 64-029
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
507 S MONROE ST, Lancaster, WI 53813
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Tracy M Roesch is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Tracy Roesch reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grant Regional Health Center, Inc.
Same address
Critical Access
507 S MONROE ST
Lancaster, WI 53813
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2 clinicians in this Medicare group
NPI 1255339867 (608) 723-2143

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ABIGAIL MARIE BURNS FNP-C
Nurse Practitioner (Family)
507 S MONROE ST
LANCASTER, WI 53813
Grant County (608) 723-2143
KRYNN KELLER BUCKLEY M.D.
Obstetrics & Gynecology (Reproductive Endocrinology)
507 S MONROE ST
LANCASTER, WI 53813
Grant County (608) 723-2131
MICHELLE BAINBRIDGE CRNA
Nurse Anesthetist, Certified Registered
507 S MONROE ST
LANCASTER, WI 53813
Grant County (608) 723-2143
MR. JASON R HOLLANDER DPT
Physical Therapist
507 S MONROE ST
LANCASTER, WI 53813
Grant County (608) 723-3236
WHITNEY ZINK DPT
Physical Therapist
507 S MONROE ST
LANCASTER, WI 53813
Grant County (608) 723-2143
GRANT REGIONAL HEALTH CENTER, INC.
Non-Pharmacy Dispensing Site
507 S MONROE ST
LANCASTER, WI 53813
Grant County (608) 723-2143
DR. ADAM WILLIAM SCHOPE M.D.
Surgery
507 S MONROE ST
LANCASTER, WI 53813
Grant County (608) 723-2131
JENNIFER RAE WAGNER MA, LAT
Specialist/Technologist (Athletic Trainer)
507 S MONROE ST
LANCASTER, WI 53813
Grant County (608) 723-3236

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tracy Roesch's NPI number?

The NPI number for Tracy Roesch is 1033117569. It was assigned to this individual provider in the NPPES registry on July 8, 2005.

Where is Tracy Roesch located?

Tracy Roesch practices at 507 S Monroe St, Lancaster, WI 53813. The listed phone number is (608) 723-3262.

What is Tracy Roesch's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Tracy Roesch enrolled in Medicare?

Yes. Tracy Roesch is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Tracy Roesch's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tracy Roesch reassigns Medicare benefits to Grant Regional Health Center, Inc. (Lancaster, WI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tracy Roesch's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Tracy Roesch was last updated on January 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.