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

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: July 19, 2026.

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

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
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

Other Names 1

Former Name (1)Carissa Rohde

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

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 2024 & 2026 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.

Counselor (Professional)
1900 SOUTH AVE
LA CROSSE, WI 54601
Social Worker (Clinical)
1900 SOUTH AVE
LA CROSSE, WI 54601
Counselor (Addiction (Substance Use Disorder))
1900 SOUTH AVE
LA CROSSE, WI 54601
Specialist/Technologist (Athletic Trainer)
1900 SOUTH AVE
LA CROSSE, WI 54601
Genetic Counselor, MS
1900 SOUTH AVE
LA CROSSE, WI 54601
Genetic Counselor, MS
1900 SOUTH AVE, EB1-001
LA CROSSE, WI 54601
Specialist/Technologist (Athletic Trainer)
1900 SOUTH AVE
LA CROSSE, WI 54601
Pharmacist
1900 SOUTH AVE
LA CROSSE, WI 54601

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1700414711, enumerated as an "individual" on March 27, 2020.

The provider is located at 1900 SOUTH AVE LA CROSSE, WI 54601 and the phone number is (608) 775-8388.

Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Aspirus Health. Please consult your insurance carrier or call the provider to verify.

Carissa Verkuilen is affiliated with: GUNDERSEN LUTHERAN MEDICAL CENTER.