CARISSA VERKUILEN PA-C
NPI 1700414711
Physician Assistant - Medical in La Crosse, WI

Q: What is Carissa Verkuilen's NPI number?

The NPI number for Carissa Verkuilen is 1700414711. It was assigned to this individual provider in the NPPES registry on March 27, 2020. The provider is also known as Carissa Rohde.

Q: What is Carissa Verkuilen'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 Carissa Verkuilen was last updated on October 29, 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.

Active since March 27, 2020PECOS EnrolledAccepts Medicare Assignment

1900 SOUTH AVE, LA CROSSE, WI 54601(608) 775-8388 Get Directions Write a Review

NPPES record last updated: October 29, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 25, 2021, Mar 27, 2020 (2 updates tracked since 2020).

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About Carissa Verkuilen Pa-c NPPES

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

CARISSA VERKUILEN PA-C (NPI 1700414711) is an individual medical provider in La Crosse, Wisconsin, licensed in Wisconsin (5518) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS, is affiliated with Gundersen Lutheran Medical Center, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1700414711

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameCARISSA VERKUILENCredential: PA-C

Location Address1900 SOUTH AVELa Crosse, WI 54601-5467

Mailing Address1900 South AveLa Crosse, WI 54601-5467 · (608) 775-8388

Phone(608) 775-8388

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateMarch 27, 2020

Last NPPES UpdateOctober 29, 20212 updates tracked since enumeration

NPPES CertifiedOctober 29, 2021

✔ NPI 1700414711 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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

Taxonomy Code363AM0700X

License✔ Licensed in WI · 5518

Also ListedPhysician AssistantTaxonomy 363A00000X

1900 SOUTH AVE, La Crosse, WI 54601

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Other Names 1

Former Name (1)Carissa Rohde

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, HealthPartners and more.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

Carissa Verkuilen 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 ID4981092343

PECOS Enrollment IDI20211104000719

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.

108 services77 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

78 services48 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.

65 services65 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.

13 services13 patients

Hospital Affiliations CMS Care Compare

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

Gundersen Lutheran Medical Center

Acute Care Hospitals · La Crosse, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520087

Location1910 South AveLa Crosse, WI 54601 · La Crosse County

Emergency services Birthing friendly

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.

ERIC JOHNSON

Pharmacist