IndividualActive
Megan Roethle, CCP, RN
NPI 1063953784 · Perfusionist · Kenosha, WI
Provider details
- NPI number
- 1063953784
- Entity type
- Individual
- Primary specialty
- PerfusionistTechnologists, Technicians & Other Technical Service Providers
- Credential
- CCP, RN
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Nursing Service Providers
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6308 8th Ave
Kenosha, WI 53143-5031
Phone: (262) 355-5636
Street-level locationGet directions
Mailing address
6308 8th Ave
Kenosha, WI 53143-5031
Registry dates
- Enumerated
- 2017-03-14
- Last updated
- 2019-04-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.