Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mary M. Beatty-Roloff, APNP

Individual provider Nurse Practitioner · NPI 1053505362

Mary M. Beatty-Roloff, APNP is a Nurse Practitioner in Waupaca, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2007
Specialties on file
3

Practice location Address checks out

N2919 Cty Hwy Qq
Waupaca, WI 54981
Phone: (715) 258-2108
Fax: (715) 942-2199
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 3195 (WI)
Nurse Practitioner Taxonomy 363L00000X · Licence 3195-033 (WI)
Registered Nurse Taxonomy 163W00000X · Licence 107505-030 (WI)

Record details

NPI number1053505362
Entity typeIndividual (Type 1)
GenderFemale
Credentials APNP
Sole proprietorYes
NPI enumeratedAugust 29, 2007
Last updated in NPPESAugust 26, 2013

Other providers in Waupaca