MELANIE J ROHLOFF MD
NPI 1528002326
Family Medicine in Appleton, WI
NPI Status: Active since June 15, 2006
Contact Information
2500 E CAPITOL DR
APPLETON, WI
ZIP 54911
Phone: (920) 738-4600
Fax: (920) 738-4792
- Individual
- Female
- Years of Experience 21
- Family Medicine
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About MELANIE ROHLOFF
This page provides the complete NPI Profile along with additional information for Melanie Rohloff, a primary care provider established in Appleton, Wisconsin with a medical specialization in Family Medicine and more than 21 years of experience. She graduated from Medical College Of Wisconsin in 2005. The healthcare provider is registered in the NPI registry with number 1528002326 assigned on June 2006. The practitioner's primary taxonomy code is 207Q00000X with license number 49597 (WI). The provider is registered as an individual and her NPI record was last updated 12 years ago.
- NPI
- 1528002326
- Provider Name
- MELANIE J ROHLOFF MD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 2500 E CAPITOL DR APPLETON, WI 54911
- Location Phone
- (920) 738-4600
- Location Fax
- (920) 738-4792
- Mailing Address
- PO BOX 8003 APPLETON, WI 54912
- Mailing Phone
- (608) 829-5247
- Medical School Name
- MEDICAL COLLEGE OF WISCONSIN
- Graduation Year
- 2005
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-15-2006
- Last Update Date
- 09-18-2013
- Code Navigator
A primary care provider (PCP) like Melanie Rohloff sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Family Medicine
- Taxonomy Code
- 207Q00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 49597
- License State
- WI
- Taxonomy Description
- Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- HMO Bronze $0 Medical Deductible - HMO
- HMO Bronze 7500 - HMO
- HMO Catstrophic 9200 with 3 Free PCP Visits - HMO
- HMO Gold 1500 - HMO
- HMO Gold 2400 - HMO
- HMO HDHP Bronze 7200 - HMO
- HMO HDHP Silver 5400 - HMO
- HMO Silver 5000 - HMO
- HMO Silver 6600 - HMO
- POS Bronze 7500 - POS
- POS HDHP Bronze 6250 - POS
- POS Silver 5000 - POS
- CGHC Bronze $0 Ded / $2250 Rx Ded - Envision Network - EPO
- CGHC Bronze $0 Ded / $2250 Rx Ded - Envision Network (Vision Exam) - EPO
- CGHC Bronze $9200 ($40 PCP Copay) - Envision Network - EPO
- CGHC Bronze $9200 ($40 PCP Copay) - Envision Network (Vision Exam) - EPO
- CGHC Bronze Standard $7500 - Envision Network - EPO
- CGHC Bronze Standard $7500 - Envision Network (Vision Exam) - EPO
- CGHC Catastrophic $9200 - Envision Network - EPO
- CGHC Gold $0 Ded - Envision Network - EPO
- CGHC Gold $0 Ded - Envision Network (Vision Exam) - EPO
- CGHC Gold $3000 - Envision Network - EPO
- CGHC Gold $3000 - Envision Network (Vision Exam) - EPO
- CGHC Gold Standard $1500 - Envision Network - EPO
- CGHC Gold Standard $1500 - Envision Network (Vision Exam) - EPO
- CGHC Silver $4200 Ded / $5000 Rx Ded - Envision Network - EPO
- CGHC Silver $4200 Ded / $5000 Rx Ded - Envision Network (Vision Exam) - EPO
- CGHC Silver $4700 Ded / $6000 Rx Ded - Envision Network - EPO
- CGHC Silver $4700 Ded / $6000 Rx Ded - Envision Network (Vision Exam) - EPO
- CGHC Silver Standard $5000 - Envision Network - EPO
- CGHC Silver Standard $5000 - Envision Network (Vision Exam) - EPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
Identifier | Type / Code | Identifier State | Identifier Issuer |
---|---|---|---|
057545003 | OTHER (01) | WI | MEDICARE PTAN |
Medicare Participation & PECOS Enrollment Status
Melanie Rohloff is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Melanie Rohloff is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 2961576509
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20080731000110
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Adm sarscv2 30mcg trs-sucr b
Administration of influenza virus vaccine
Administration of pneumococcal vaccine
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
Dxa bone density measurement of hip, pelvis, spine
Established patient office or other outpatient visit, 30-39 minutes
Established patient office or other outpatient visit, 40-54 minutes
Influenza vaccine split virus, preservative free
Insertion of needle into vein for collection of blood sample
Screening 3d breast mammography
Screening mammography
This service involves the administration of a 30mcg dose of the SARS-CoV-2 vaccine, which helps protect against COVID-19. The 'trs-sucr b' indicates it's stabilized with sugars for effectiveness. It's a crucial step in maintaining your health during the pandemic.
This service was performed 13 times for 13 patientsThe 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.
This service was performed 24 times for 24 patientsThe pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
This service was performed 12 times for 12 patientsAn 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.
This service was performed 58 times for 58 patientsA DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.
This service was performed 12 times for 12 patientsThis 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.
This service was performed 77 times for 59 patientsThis 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.
This service was performed 69 times for 45 patientsThe Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
This service was performed 22 times for 22 patientsThis procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
This service was performed 112 times for 68 patientsScreening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
This service was performed 27 times for 27 patientsScreening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
This service was performed 35 times for 35 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $20.73 for a new patient copayment and $23.85 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 54911 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $82.92
- Minimum New Patient Price $53.9
- Maximum New Patient Price $163.24
- Average New Patient Copayment $20.73
- Minimum New Patient Copayment $13.47
- Maximum New Patient Copayment $40.81
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $95.41
- Minimum Established Patient Price $17.4
- Maximum Established Patient Price $133.76
- Average Established Patient Copayment $23.85
- Minimum Established Patient Copayment $4.35
- Maximum Established Patient Copayment $33.44
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Melanie Rohloff is affiliated with the following medical facilities:
Hospital Name | Address | Phone | Hospital Type | Overall Rating |
---|---|---|---|---|
THEDACARE REGIONAL MED CTR - NEENAH | 130 2ND ST NEENAH, WI 54956 | (920) 729-3100 | Acute Care Hospitals |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 5 | 2 | 8 | 0 | 0 | 2 | 3 | 2 | 6 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 5 | 4 | 8 | 0 | 0 | 4 | 3 | 4 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 5 + 4 + 8 + 0 + 0 + 4 + 3 + 4 + 24 = 54 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
60 - 54 = 6 | 6 |
The NPI number 1528002326 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1053317594 | DEBORAH A IHDE MD Individual | Internal Medicine | 2500 E CAPITOL DR APPLETON, WI 54911 (920) 731-5811 |
1427023084 | CRAIG S HENDEL M.D. Individual | Family Medicine | 2500 E CAPITOL DR APPLETON, WI 54911 (920) 738-4600 |
1285679860 | CHRISTINE NEWTON MD Individual | Family Medicine | 2500 E CAPITOL DR APPLETON, WI 54911 (920) 738-4600 |
1750318523 | DAVID ANDERLA MD Individual | Family Medicine | 2500 E CAPITOL DR APPLETON, WI 54911 (920) 738-4600 |
1295762680 | TIMOTHY WYCOFF MD Individual | Family Medicine | 2500 E CAPITOL DR APPLETON, WI 54911 (920) 738-4600 |
1093742488 | KELLI HEINDEL MD Individual | Family Medicine | 2500 E CAPITOL DR APPLETON, WI 54911 (920) 738-4600 |
1992737522 | JACK ANDERSON MD Individual | Internal Medicine | 2500 E CAPITOL DR APPLETON, WI 54911 (920) 731-5811 |
1780616136 | IFTIKHAR A MALIK MD Individual | Internal Medicine (Endocrinology, Diabetes & Metabolism) | 2500 E CAPITOL DR APPLETON, WI 54911 (920) 358-1223 |
1811916075 | VALLEY UROLOGIC ASSOCIATES Organization | Urology | 2500 E CAPITOL DR SUITE 2600 APPLETON, WI 54911 (920) 739-3537 |
1609067388 | NANCY L BUCHHOLZ APNP Individual | Nurse Practitioner (Adult Health) | 2500 E CAPITOL DR APPLETON, WI 54911 (920) 738-4600 |
1811245210 | KATHRYN M HANSON APNP Individual | Nurse Practitioner | 2500 E CAPITOL DR APPLETON, WI 54911 (920) 738-4600 |
1134220254 | ZAHEERUDDIN SHEIKH MD Individual | Internal Medicine (Rheumatology) | 2500 E CAPITOL DR THEDACARE ORTHO PLUS APPLETON, WI 54911 (920) 831-5050 |
1225281264 | JENNIFER R JACKAN APNP Individual | Nurse Practitioner (Family) | 2500 E CAPITOL DR SUITE 2600 APPLETON, WI 54911 (920) 739-3537 |
1194814285 | DR. ORLANDO ANGELO LIZARDO TALEON MD Individual | Internal Medicine (Geriatric Medicine) | 2500 E CAPITOL DR APPLETON, WI 54911 (920) 731-5811 |
1922242445 | LACHIN HAJHOSSEINI MD Individual | Family Medicine | 2500 E CAPITOL DR APPLETON, WI 54911 (920) 738-4600 |
1841434362 | TIFFANY JO SCHRAUFNAGEL DO Individual | Family Medicine | 2500 E CAPITOL DR APPLETON, WI 54911 (920) 738-4600 |
1306873146 | ELIZABETH J LANDMANN PA Individual | Physician Assistant | 2500 E CAPITOL DR APPLETON, WI 54911 (920) 738-4600 |
1497823694 | MARIA T ARISTIGUETA M.D. Individual | Internal Medicine (Pulmonary Disease) | 2500 E CAPITOL DR SUITE1700 APPLETON, WI 54911 (920) 734-9600 |
1982004420 | MS. AMBER LEE CARLSEN AGNP Individual | Nurse Practitioner (Adult Health) | 2500 E CAPITOL DR SUITE 700 APPLETON, WI 54911 (902) 734-9600 |
1649671181 | JESSICA L VAN LANNEN APNP Individual | Nurse Practitioner | 2500 E CAPITOL DR APPLETON, WI 54911 (920) 738-4600 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1528002326, enumerated in the NPI registry as an "individual" on June 15, 2006
The provider is located at 2500 E Capitol Dr Appleton, Wi 54911 and the phone number is (920) 738-4600
The provider's speciality is Family Medicine with taxonomy code 207Q00000X
The provider has more than 21 years of experience. She graduated from Medical College Of Wisconsin in 2005.
The provider might be accepting Accepts: Aspirus Health Plan, Common Ground Healthcare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $82.92 with an average copayment of $20.73 for new patient appointments. Established patients should expect a typical charge of $95.41 and an average copayment of 23.85. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Adm sarscv2 30mcg trs-sucr b, Administration of influenza virus vaccine, Administration of pneumococcal vaccine, Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, Dxa bone density measurement of hip, pelvis, spine, Established patient office or other outpatient visit, 30-39 minutes, Established patient office or other outpatient visit, 40-54 minutes, Influenza vaccine split virus, preservative free, Insertion of needle into vein for collection of blood sample, Screening 3d breast mammography and Screening mammography.
The practitioner is affiliated to the following hospital(s): THEDACARE REGIONAL MED CTR - NEENAH. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
This NPI record was last updated on June 15, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.