DR. ROSANNE KATHERINE POE PSY.D.
NPI 1780890475
Psychologist - Clinical in Mount Pleasant, WI

Q: What is Rosanne Poe's NPI number?

The NPI number for Rosanne Poe is 1780890475. It was assigned to this individual provider in the NPPES registry on May 16, 2007.

Q: What is Rosanne Poe's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Rosanne Poe was last updated on April 20, 2022. 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 May 16, 2007PECOS EnrolledAccepts Medicare Assignment

6214 WASHINGTON AVE, SUITE C-6, MOUNT PLEASANT, WI 53406(262) 763-7249(262) 763-7249 Get Directions Write a Review

NPPES record last updated: April 20, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Dr. Rosanne Katherine Poe Psy.d. NPPES

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

DR. ROSANNE KATHERINE POE PSY.D. (NPI 1780890475) is an individual clinical provider in Mount Pleasant, Wisconsin, licensed in Wisconsin (1490) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1988).

NPPES Registry Identity

NPI1780890475

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. ROSANNE KATHERINE POECredential: PSY.D.

Location Address6214 WASHINGTON AVE, SUITE C-6Mount Pleasant, WI 53406

Mailing Address6214 Washington Ave, Suite C-6Mount Pleasant, WI 53406 · (262) 763-7249 · Fax (262) 763-7249

Phone(262) 763-7249

Fax(262) 763-7249

Sole ProprietorYes

Medical School CMSOtherGraduated 1988

Enumeration DateMay 16, 2007

Last NPPES UpdateApril 20, 2022

NPPES CertifiedApril 20, 2022

✔ NPI 1780890475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in WI · 1490

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Also ListedPsychologistTaxonomy 103T00000X · License 1490 (WI)

Also ListedPsychologist · Clinical Child & AdolescentTaxonomy 103TC2200X · License 1490 (WI)

6214 WASHINGTON AVE, Mount Pleasant, WI 53406

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Network Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Rosanne Katherine Poe Psy.d. 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 ID4486723004

PECOS Enrollment IDI20080521000693

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.

Medicare Billing Reassignment

Medicare enrollment records show Rosanne Poe reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Medical Psychology Associates, Inc.

28 mi

Adult Mental Health

6110 N PORT WASHINGTON RD
Glendale, WI 53217

Reassigned Medicare billing, Wisconsin enrollment
11 clinicians in this Medicare group

NPI 1043307598 (414) 962-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53406 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

$163.24 typical visit price

range $53.90 – $163.24

Typical copayment $40.81 (range $13.47 – $40.81)

Most-billed visit code 99205

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 5

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

MRS. BARBARA B MIZER MSW,LCSW,CSAC

Social Worker (Clinical)

6214 WASHINGTON AVE, SUITE C10
MOUNT PLEASANT, WI 53406

Racine County (262) 989-6212

LIFE FOCUS COUNSELING SC

Social Worker (Clinical)

6214 WASHINGTON AVE, SUITE C-10
RACINE, WI 53406

Racine County (262) 989-6212

BARBARA GAIL DEMILIO LCSW

Social Worker (Clinical)

6214 WASHINGTON AVE
MOUNT PLEASANT, WI 53406

Racine County (262) 456-3712

NULIFE THERAPY SERVICES, LLC

Community/Behavioral Health

6214 WASHINGTON AVE, SUITE C-3
MOUNT PLEASANT, WI 53406

Racine County (262) 456-3712

RUSS KINKADE PSY D SC

Clinic/Center

6214 WASHINGTON AVE, C-10
MOUNT PLEASANT, WI 53406

Racine County (262) 989-5228

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 Rosanne Poe's NPI number?

The NPI number for Rosanne Poe is 1780890475. It was assigned to this individual provider in the NPPES registry on May 16, 2007.

Where is Rosanne Poe located?

Rosanne Poe practices at 6214 Washington Ave Suite C-6, Mount Pleasant, WI 53406. The listed phone number is (262) 763-7249.

What is Rosanne Poe's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Rosanne Poe enrolled in Medicare?

Yes. Rosanne Poe 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.

Which organization bills Medicare for Rosanne Poe's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rosanne Poe reassigns Medicare benefits to Medical Psychology Associates, Inc. (Glendale, WI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Rosanne Poe's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rosanne Poe accept?

Health plans from Anthem Blue Cross and Blue Shield and Network Health list Rosanne Poe 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.

When was this NPI record last updated?

The NPPES record for Rosanne Poe was last updated on April 20, 2022. 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.