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

Individual provider Speech-Language Pathologist · NPI 1053862763

Miss. Roseann Fasi is a Qualified Speech Language Pathologist in New Berlin, Wisconsin. Qualified in 1984, 42 years ago. Practices with Aegis Group Practice LLC, a 406-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
42
Licensed in
WI
In the registry since
2016
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Practice location Address checks out

4655 S Hunter Ln
New Berlin, WI 53151-7484
Phone: (414) 412-1759
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 547154 (WI)

Record details

NPI number1053862763
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 18, 2016
Last updated in NPPESOctober 18, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 1984 (42 years in practice)
Group practice Aegis Group Practice Llc — 406 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in New Berlin