MR. ROGER ALLEN MAUSOLF PA-C
NPI 1174883359
Physician Assistant - Medical in Davison, MI

Q: What is Roger Mausolf's NPI number?

The NPI number for Roger Mausolf is 1174883359. It was assigned to this individual provider in the NPPES registry on May 22, 2012.

Q: What is Roger Mausolf's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Roger Mausolf was last updated on June 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since May 22, 2012PECOS EnrolledAccepts Medicare Assignment

8020 DAVISON RD, DAVISON, MI 48423(810) 653-4145 Get Directions Write a Review

NPPES record last updated: June 27, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Mr. Roger Allen Mausolf Pa-c NPPES

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

MR. ROGER ALLEN MAUSOLF PA-C (NPI 1174883359) is an individual medical provider in Davison, Michigan, licensed in Michigan (5601006344) and active in the NPI registry since May 2012. He is enrolled in Medicare PECOS, is affiliated with Henry Ford Health Hospital, and is a graduate of Wayne State University School Of Medicine (2012).

NPPES Registry Identity

NPI1174883359

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameMR. ROGER ALLEN MAUSOLFCredential: PA-C

Location Address8020 DAVISON RDDavison, MI 48423-2029

Mailing Address3495 S Center RdBurton, MI 48519-1455

Phone(810) 653-4145

Sole ProprietorNo

Medical School CMSWayne State University School Of MedicineGraduated 2012

Enumeration DateMay 22, 2012

Last NPPES UpdateJune 27, 2025

NPPES CertifiedJune 27, 2025

✔ NPI 1174883359 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in MI · 5601006344

8020 DAVISON RD, Davison, MI 48423

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Roger Allen Mausolf Pa-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 ID1951531102

PECOS Enrollment IDI20140307001559

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.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

193 services114 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

50 services36 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

19 services16 patients

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

15 services14 patients

Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880

A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.

15 services15 patients

Hospital Affiliations CMS Care Compare

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

Henry Ford Health Hospital

Acute Care Hospitals · Detroit, MI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230053

Location2799 W Grand BlvdDetroit, MI 48202 · Wayne County

Emergency services Birthing friendly

Other Providers at the Same Location NPPES 7

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

GENESYS PRACTICE PARTNERS, INC

Family Medicine