CARRIE A ROTHERING NP
NPI 1699963363
Nurse Practitioner in Fond Du Lac, WI

Active since October 09, 2007PECOS EnrolledAccepts Medicare Assignment
210 WISCONSIN AMERICAN DR, FOND DU LAC, WI 54937(920) 926-7800 Get Directions Write a Review

NPPES record last updated: December 3, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 3, 2021, Oct 29, 2018 (2 updates tracked since 2018).

About Carrie A Rothering Np NPPES

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

CARRIE A ROTHERING NP (NPI 1699963363) is an individual nurse practitioner in Fond Du Lac, Wisconsin, licensed in Wisconsin (4992) and active in the NPI registry since October 2007. She is enrolled in Medicare PECOS, is affiliated with St Josephs Community Hospital West Bend, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1699963363
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameCARRIE A ROTHERINGCredential: NP
Location Address210 WISCONSIN AMERICAN DRFond Du Lac, WI 54937
Mailing Address210 Wisconsin American DrFond Du Lac, WI 54937-2999 · (920) 926-7800
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateOctober 9, 2007
Last NPPES UpdateDecember 3, 20212 updates tracked since enumeration
NPPES CertifiedDecember 3, 2021
NPI 1699963363 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
License Licensed in WI · 4992
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 150226-030 (WI)
210 WISCONSIN AMERICAN DR, Fond Du Lac, WI 54937

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

Carrie A Rothering 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 ID8921259821
PECOS Enrollment IDI20121126000512
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 4

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.
117 services61 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.
61 services49 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
43 services43 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

St Josephs Community Hospital West Bend

Acute Care Hospitals · West Bend, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520063
Location3200 Pleasant Valley RoadWest Bend, WI 53095 · Washington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54937 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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers14 claims43 services$5.46 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Nurse Practitioner
210 WISCONSIN AMERICAN DR
FOND DU LAC, WI 54937
Nurse Practitioner
210 WISCONSIN AMERICAN DR
FOND DU LAC, WI 54937
Nurse Practitioner
210 WISCONSIN AMERICAN DR
FOND DU LAC, WI 54937
Pediatrics
210 WISCONSIN AMERICAN DR
FOND DU LAC, WI 54937
Nurse Practitioner
210 WISCONSIN AMERICAN DR
FOND DU LAC, WI 54937
Pediatrics
210 WISCONSIN AMERICAN DR
FOND DU LAC, WI 54937
Psychiatry & Neurology (Neurology)
210 WISCONSIN AMERICAN DR
FOND DU LAC, WI 54937
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
210 WISCONSIN AMERICAN DR
FOND DU LAC, WI 54937

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 Carrie Rothering's NPI number?

The NPI number for Carrie Rothering is 1699963363. It was assigned to this individual provider in the NPPES registry on October 9, 2007.

Where is Carrie Rothering located?

Carrie Rothering practices at 210 Wisconsin American Dr, Fond Du Lac, WI 54937. The listed phone number is (920) 926-7800.

What is Carrie Rothering's specialty?

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

Is Carrie Rothering enrolled in Medicare?

Yes. Carrie Rothering 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 Carrie Rothering accept?

Health plans from Anthem Blue Cross and Blue Shield and Network Health list Carrie Rothering 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 Carrie Rothering affiliated with any hospitals?

According to CMS data, Carrie Rothering is affiliated with St Josephs Community Hospital West Bend.

When was this NPI record last updated?

The NPPES record for Carrie Rothering was last updated on December 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.