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RACHEL ROEHRIG FNP-C
NPI 1154282648
Nurse Practitioner - Family in Sturgeon Bay, WI

Active since November 24, 2025PECOS EnrolledAccepts Medicare Assignment
323 S 18TH AVE, STURGEON BAY, WI 54235(920) 743-5566 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 13, 2026, Jul 10, 2026, Nov 24, 2025 (3 updates tracked since 2025).

About Rachel Roehrig Fnp-c NPPES

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

RACHEL ROEHRIG FNP-C (NPI 1154282648) is an individual family provider in Sturgeon Bay, Wisconsin, licensed in Wisconsin (17113-33) and active in the NPI registry since November 2025. She is enrolled in Medicare PECOS, is affiliated with Door County Medical Center, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1154282648
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameRACHEL ROEHRIGCredential: FNP-C
Location Address323 S 18TH AVESturgeon Bay, WI 54235-1401
Mailing AddressN9287 County Rd WMalone, WI 53049-1526
Phone(920) 743-5566
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateNovember 24, 2025
Last NPPES UpdateJuly 13, 20263 updates tracked since enumeration
NPPES CertifiedJuly 13, 2026
✔ NPI 1154282648 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in WI · 17113-33
323 S 18TH AVE, Sturgeon Bay, WI 54235
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare).Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Rachel Roehrig Fnp-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID840774709
PECOS Enrollment IDI20260319001014
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Rachel Roehrig reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Door County Memorial Hospital
Same address
Critical Access
323 S 18TH AVE
Sturgeon Bay, WI 54235
  • Reassigned Medicare billing, Wisconsin enrollment
  • 131 clinicians in this Medicare group
NPI 1093743874 (920) 743-5566
Emergency Medicine Specialists, S.C.
129 mi
Emergency Medicine
10625 W NORTH AVE, SUITE 102
Milwaukee, WI 53226
  • Reassigned Medicare billing, Wisconsin enrollment
  • Medicare enrollment name: Emergency Medicine Specialists Sc
  • 244 clinicians in this Medicare group
NPI 1568413524 (414) 877-5350

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

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Door County Medical Center

Critical Access Hospitals · Sturgeon Bay, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number521358
Location323 South 18th AvenueSturgeon Bay, WI 54235 · Door County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54235 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.

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.

JESSICA J SKINNER RN, IBCLC
Registered Nurse (Lactation Consultant)
323 S 18TH AVE
STURGEON BAY, WI 54235
Door County (920) 746-3595
SHANE FRANK COLVIN MD
Pediatrics
323 S 18TH AVE
STURGEON BAY, WI 54235
Door County (920) 746-0510
MS. KRISTINA R KOYEN LAT
Specialist/Technologist (Athletic Trainer)
323 S 18TH AVE
STURGEON BAY, WI 54235
Door County (920) 495-4303
KRISTINA OHLEY PHARMD
Pharmacist
323 S 18TH AVE
STURGEON BAY, WI 54235
Door County (920) 746-3633
HENRY I SAPERSTEIN M.D.
Internal Medicine
323 S 18TH AVE
STURGEON BAY, WI 54235
Door County (920) 746-0510
DR. SHAWN W LAIBLY MD
Obstetrics & Gynecology
323 S 18TH AVE
STURGEON BAY, WI 54235
Door County (920) 746-0510
DOOR COUNTY MEMORIAL HOSPITAL
Skilled Nursing Facility
323 S 18TH AVE
STURGEON BAY, WI 54235
Door County (920) 743-5566
SARAH JUNE KELLER M.D.
Internal Medicine (Rheumatology)
323 S 18TH AVE
STURGEON BAY, WI 54235
Door County (920) 746-3501

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 Rachel Roehrig's NPI number?

The NPI number for Rachel Roehrig is 1154282648. It was assigned to this individual provider in the NPPES registry on November 24, 2025.

Where is Rachel Roehrig located?

Rachel Roehrig practices at 323 S 18th Ave, Sturgeon Bay, WI 54235. The listed phone number is (920) 743-5566.

What is Rachel Roehrig's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Rachel Roehrig enrolled in Medicare?

Yes. Rachel Roehrig is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Rachel Roehrig's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rachel Roehrig reassigns Medicare benefits to 2 organizations: Door County Memorial Hospital (Sturgeon Bay, WI) and Emergency Medicine Specialists, S.C. (Milwaukee, WI). Each 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 Rachel Roehrig's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rachel Roehrig accept?

Health plans from CareSource (Common Ground Healthcare) list Rachel Roehrig as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Rachel Roehrig affiliated with any hospitals?

According to CMS data, Rachel Roehrig is affiliated with Door County Medical Center.

When was this NPI record last updated?

The NPPES record for Rachel Roehrig was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.