Active NPI
Shari L. Rolandson Wentz, APRN, CNP
- Gerontology Nurse Practitioner
- Roseville, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 1483600
- Practice address
- 2355 Hwy 36 W.
Ste. 100
Roseville, MN 55113 - Phone
- (651) 292-2000
- NPI assigned
- Oct 20, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | CNP 1493 | MN | |
| Adult Health Nurse Practitioner | 363LA2200X | CNP 1493 | MN | |
| Gerontology Nurse Practitioner | 363LG0600X | 1483600 | MN | Primary |
Addresses
Primary practice location
2355 Hwy 36 W.
Ste. 100
Roseville, MN 55113
Mailing address
2355 Hwy 36 W
Ste. 100
Roseville, MN 55113
Other practice location 1
401 Phalen Blvd
Saint Paul, MN 55130-5302
Phone (651) 254-3490
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110223000204 | MN | Practitioner - Nurse Practitioner | 0749461853 | Reassigns benefits to 4 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2355 Hwy 36 W
Suite 100
Roseville, MN 55113-3905
Phone (651) 292-2000
295 Phalen Blvd
Saint Paul, MN 55130-2400
Phone (651) 495-6200
640 Jackson St
Saint Paul, MN 55101-2502
Phone (651) 221-3456
8600 Nicollet Ave
Bloomington, MN 55420-2824
Phone (952) 884-1148
Hospital & facility affiliations
- M Health Fairview St John'S Hospital
- Regions Hospital
- Allina United Hospital
- M Health Fairview Woodwinds Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.17 of 100
- Quality
- 95
- Improvement activities
- 40
- Cost
- 82.21
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1483600 | MN | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Group Health, Inc. | Current | Accepting new patients | |
| Suburban Imaging, LLC | Current | Accepting new patients | |
| Midwest Radiology, PA | Current | Accepting new patients | |
| Group Health, Inc. | Current | Accepting new patients | |
| Midwest Radiology Outpatient Imaging, LLC | Current | Accepting new patients | |
| Group Health, Inc. | Current | Accepting new patients | |
| Consulting Radiologists, LTD | Past | Accepting new patients |
Locations
14000 Nicollet Ave
Ste 204
Burnsville, MN 55337
Phone (952) 898-2333
12000 Elm Creek Blvd N
Ste 310
Maple Grove, MN 55369
Phone (763) 416-7888
11850 Blackfoot St NW
Ste 180
Minneapolis, MN 55433
Phone (763) 795-1600
8990 Springbrook Dr NW
Ste 140
Minneapolis, MN 55433
Phone (763) 792-1900
8170 33rd Ave S
#21110Q
Minneapolis, MN 55425
Phone (952) 883-5375
8600 Nicollet Ave S
Minneapolis, MN 55420
Phone (952) 887-6600
6545 France Ave S
Ste 115
Minneapolis, MN 55435
Phone (952) 893-1997
2220 Riverside Ave
Minneapolis, MN 55454
Phone (612) 371-1600
333 Smith Ave N
Saint Paul, MN 55102
Phone (651) 220-8256
401 Phalen Blvd
Saint Paul, MN 55130
Phone (651) 254-7870
250 Thompson St
Saint Paul, MN 55102
Phone (651) 297-6504
2355 Highway 36 W
Ste 100
Saint Paul, MN 55113
Phone (651) 292-0000
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Saint Paul, MN
- NPI 1720059264
MN
-
- Family Medicine Physician
- Stillwater, MN
- NPI 1245608454
-
- General Practice Dentistry
- Saint Paul, MN
- NPI 1952042053
-
- Diagnostic Radiology Physician
- Eden Prairie, MN
- NPI 1487730594
Hospital & facility affiliations 25
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- St Paul, MN
- NPI 1265474704
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694390400000",
"number": "1144530387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2355 HWY 36 W",
"address_2": "STE. 100",
"city": "ROSEVILLE",
"state": "MN",
"postal_code": "55113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2355 HWY 36 W.",
"address_2": "STE. 100",
"city": "ROSEVILLE",
"state": "MN",
"postal_code": "55113",
"telephone_number": "651-292-2000"
}
],
"practiceLocations": [
{
"address_1": "401 Phalen Blvd",
"address_purpose": "LOCATION",
"city": "Saint Paul",
"state": "MN",
"postal_code": "551305302",
"country_code": "US",
"telephone_number": "651-254-3490",
"fax_number": "651-254-7033",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROLANDSON WENTZ",
"first_name": "SHARI",
"middle_name": "L.",
"credential": "APRN, CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-10-20",
"last_updated": "2023-09-11",
"certification_date": "2023-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MN",
"license": "CNP 1493",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "MN",
"license": "CNP 1493",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "MN",
"license": "1483600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roseville, MN
- Robinson Chiropractic, P.a
- Brent James Charles Robinson, D.C
- Denaya Lou-Jean Rockstad, LPCC
- Kathryn Marie Roeber, DC
- Haley Rogers, PA-C
- Gabrielle Rosario, DNP, APRN, FNP-C
- Rose of Sharon
- Lisa Chong Rose, LPCC
- Rosenberg Center Assessment and Treatment for Children & Families PA
- Rosenberg Center: Assessment and Treatment for Children and Families
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; 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.