AMY JO ROANHOUSE NP
NPI 1619620499
Nurse Practitioner - Family in Waukesha, WI

Active since February 01, 2022PECOS EnrolledAccepts Medicare Assignment
801 E SUNSET DR, WAUKESHA, WI 53189(262) 532-3691 Get Directions Write a Review

NPPES record last updated: September 25, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 14, 2022, Feb 1, 2022 (2 updates tracked since 2022).

About Amy Jo Roanhouse Np NPPES

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

AMY JO ROANHOUSE NP (NPI 1619620499) is an individual family provider in Waukesha, Wisconsin, licensed in Wisconsin (11516-33) and active in the NPI registry since February 2022. She is enrolled in Medicare PECOS, is affiliated with Aurora Medical Center Kenosha, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1619620499
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameAMY JO ROANHOUSECredential: NP
Location Address801 E SUNSET DRWaukesha, WI 53189-7816
Mailing Address5916 N River Bay RdWaterford, WI 53185-3035 · (262) 470-5089
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateFebruary 1, 2022
Last NPPES UpdateSeptember 25, 20232 updates tracked since enumeration
NPPES CertifiedJuly 13, 2023
NPI 1619620499 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in WI · 11516-33
Also ListedNurse PractitionerTaxonomy 363L00000X · License 11516-33 (WI)
801 E SUNSET DR, Waukesha, WI 53189

Accepted 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

Amy Jo Roanhouse Np 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 ID7416344510
PECOS Enrollment IDI20220419002896
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 2

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 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.
43 services43 patients
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.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

Aurora Medical Center Kenosha

Acute Care Hospitals · Kenosha, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520189
Location10400 75th StKenosha, WI 53142 · Kenosha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53189 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 4

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

Pharmacist
801 E SUNSET DR
WAUKESHA, WI 53189
Pharmacist
801 E SUNSET DR
WAUKESHA, WI 53189
Nurse Practitioner (Family)
801 E SUNSET DR
WAUKESHA, WI 53189
Pharmacy (Community/Retail Pharmacy)
801 E SUNSET DR
WAUKESHA, WI 53189

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 Amy Roanhouse's NPI number?

The NPI number for Amy Roanhouse is 1619620499. It was assigned to this individual provider in the NPPES registry on February 1, 2022.

Where is Amy Roanhouse located?

Amy Roanhouse practices at 801 E Sunset Dr, Waukesha, WI 53189. The listed phone number is (262) 532-3691.

What is Amy Roanhouse's specialty?

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

Is Amy Roanhouse enrolled in Medicare?

Yes. Amy Roanhouse 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.

What insurance does Amy Roanhouse accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), HealthPartners, Quartz and UnitedHealthcare list Amy Roanhouse 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 Amy Roanhouse affiliated with any hospitals?

According to CMS data, Amy Roanhouse is affiliated with Aurora Medical Center Kenosha.

When was this NPI record last updated?

The NPPES record for Amy Roanhouse was last updated on September 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.