MARY M. BEATTY-ROLOFF APNP
NPI 1053505362
Nurse Practitioner in Waupaca, WI

Q: What is Mary Beatty-roloff's NPI number?

The NPI number for Mary Beatty-roloff is 1053505362. It was assigned to this individual provider in the NPPES registry on August 29, 2007. The provider is also known as Mary M. Beatty Apnp.

Q: What is Mary Beatty-roloff's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since August 29, 2007PECOS Enrolled

N2919 CTY HWY QQ, WAUPACA, WI 54981(715) 258-2108(715) 942-2199 Get Directions Write a Review

NPPES record last updated: August 26, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mary M. Beatty-roloff Apnp NPPES

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

MARY M. BEATTY-ROLOFF APNP (NPI 1053505362) is an individual nurse practitioner in Waupaca, Wisconsin, licensed in Wisconsin (3195) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053505362

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMARY M. BEATTY-ROLOFFCredential: APNP

Location AddressN2919 CTY HWY QQWaupaca, WI 54981

Mailing AddressN2919 Cty Hwy QqWaupaca, WI 54981 · (715) 258-2108 · Fax (715) 942-2199

Phone(715) 258-2108

Fax(715) 942-2199

Sole ProprietorYes

Enumeration DateAugust 29, 2007

Last NPPES UpdateAugust 26, 2013

✔ NPI 1053505362 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Licenses✔ Licensed in WI · 3195✔ Licensed in WI · 3195-033

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedRegistered NurseTaxonomy 163W00000X · License 107505-030 (WI)

N2919 CTY HWY QQ, Waupaca, WI 54981

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Other Names 1

Former Name (1)Mary M. Beatty Apnp

Other Identifiers 1

Other3195WI · Wi State License

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary M. Beatty-roloff Apnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54981 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Mary Beatty-roloff's NPI number?

The NPI number for Mary Beatty-roloff is 1053505362. It was assigned to this individual provider in the NPPES registry on August 29, 2007. The provider is also known as Mary M. Beatty Apnp.

Where is Mary Beatty-roloff located?

Mary Beatty-roloff practices at N2919 Cty Hwy Qq, Waupaca, WI 54981. The listed phone number is (715) 258-2108.

What is Mary Beatty-roloff's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Mary Beatty-roloff enrolled in Medicare?

Yes. Mary Beatty-roloff is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mary Beatty-roloff was last updated on August 26, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.