Carly Roskop

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

A129749 Issued in IA

Practice address

709 W Main St
Manchester, IA 52057-1526

Phone

(563) 927-3232

NPI assigned

Jun 19, 2015

Last updated

Oct 28, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Carly Y Chadek Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Central Community HospitalGroup PAC ID 1052206372, shared by 5 NPIs, 16 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Regional Medical Center Hospital, Manchester, IA, CCN 161343
• Mercyone Elkader Medical Center Hospital, Elkader, IA, CCN 161319

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: croskop3963717@direct.trinity-health.org
• FHIR API: https://fhir-myrecord.cerner.com/r4/0e14dd7a-54b5-4e15-8bd7-0053cd69b1ac/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Central Community Hospital

  dba MercyOne Elkader Medical Center

  • Critical Access Hospital
  • Elkader, IA
  • NPI 1184645434
  Medicare reassignment NPD
• Central Community Hospital

  dba MercyOne Elkader Medical Center

  • Surgery Physician
  • Elkader, IA
  • NPI 1578600961
  Medicare reassignment NPD
• Delaware County Memorial Hospital

  dba Regional Medical Center

  • Critical Access Hospital
  • Manchester, IA
  • NPI 1750354676
  Medicare reassignment NPD
• Delaware County Memorial Hospital

  dba Backbone Area Counseling Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Manchester, IA
  • NPI 1982667929
  Medicare reassignment NPD
• Iowa Physicians Clinic Medical Foundation

  dba UnityPoint Clinic

  • General Practice Physician
  • West Des Moines, IA
  • NPI 1366425274
  Medicare reassignment NPD
• Mercy Care Management, Inc

  dba Mercy Care North

  • Family Medicine Physician
  • Cedar Rapids, IA
  • NPI 1467659268
  Medicare reassignment NPD
• Mercy Physician Associates, Inc

  dba Mercy Care Edgewood

  • Family Medicine Physician
  • Cedar Rapids, IA
  • NPI 1427254952
  Medicare reassignment NPD
• Central Community Hospital

  dba MercyOne Elkader Family Medicine

  • Rural Health Clinic/Center
  • Elkader, IA
  • NPI 1952986010
  NPD
• Delaware County Memorial Hospital

  dba Regional Medical Center

  • Emergency Medical Services (Emergency Medicine) Physician
  • Manchester, IA
  • NPI 1326073669
  NPD
• Delaware County Memorial Hospital

  dba Regional Family Health Dyersville

  • Rural Health Clinic/Center
  • Dyersville, IA
  • NPI 1689264756
  NPD
• Mercy Care Management, Inc

  dba MercyCare Hiawatha Urgent Care

  • Family Nurse Practitioner
  • Hiawatha, IA
  • NPI 1114451424
  NPD
• Mercy Care Management, Inc

  dba Mercy Care South

  • Family Medicine Physician
  • Cedar Rapids, IA
  • NPI 1306042890
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Central Community Hospital

  dba MercyOne Elkader Medical Center

  • Critical Access Hospital
  • Elkader, IA
  • NPI 1184645434
  Care Compare affiliation
• Delaware County Memorial Hospital

  dba Regional Medical Center

  • Critical Access Hospital
  • Manchester, IA
  • NPI 1750354676
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1434672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603843200000",
    "number": "1083096663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 KATZ DR",
            "city": "MARION",
            "state": "IA",
            "postal_code": "523023871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 W MAIN ST",
            "city": "MANCHESTER",
            "state": "IA",
            "postal_code": "520571526",
            "telephone_number": "563-927-3232"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3701 Katz Dr",
            "address_purpose": "LOCATION",
            "city": "Marion",
            "state": "IA",
            "postal_code": "523023871",
            "country_code": "US",
            "telephone_number": "319-373-3022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSKOP",
        "first_name": "CARLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-19",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A129749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "carly.roskop@regmedctr.org",
            "affiliation": "N",
            "endpointDescription": "Regional Medical Center Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "709 W Main St",
            "city": "Manchester",
            "state": "IA",
            "country_code": "US",
            "postal_code": "520571526",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CARLY",
            "last_name": "CHADEK",
            "middle_name": "Y",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Reetz Chiropractic Clinic
• Reetz Chiropractic Clinic, PC
• Mark A Reetz, D.C.
• Kelli Lynn Riniker, RPH
• Rooted Pediatric Healthcare LLC
• Robert Allen Sack, RPH
• Victor Salas, M.D.
• Katie Salle, PHARMD
• Nicole M Salow, M.D.
• Jonathan David Schettler

• Family Nurse Practitioner in Manchester, IA
• Providers in Manchester, IA by specialty
• Family Nurse Practitioner in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.