Individual provider Active NPI

Shari L. Rolandson Wentz, APRN, CNP

  • Gerontology Nurse Practitioner
  • Roseville, MN
National Provider Identifier
1144530387
Registry record updated Sep 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
1483600 Issued in MN
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

Updated by the provider on Sep 11, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
Midwest Radiology PAGroup PAC ID 4486568482, 217 clinicians
Group Health IncGroup PAC ID 1759293954, 1,627 clinicians

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 Hospital, Maplewood, MN, CCN 240210
  • Regions Hospital Hospital, Saint Paul, MN, CCN 240106
  • Allina United Hospital Hospital, Saint Paul, MN, CCN 240038
  • M Health Fairview Woodwinds Hospital Hospital, Woodbury, MN, CCN 240213

Merit-based Incentive Payment System (MIPS)

Final score
93.17 of 100Reported as group
Quality
95
Improvement activities
40
Cost
82.21

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1483600MNMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Group Health, Inc. Current Accepting new patients
Suburban Imaging, LLC CurrentSince Jul 18, 2022 Accepting new patients
Midwest Radiology, PA CurrentSince Jul 18, 2022 Accepting new patients
Group Health, Inc. CurrentSince Sep 23, 2011 Accepting new patients
Midwest Radiology Outpatient Imaging, LLC CurrentSince Jul 18, 2022 Accepting new patients
Group Health, Inc. CurrentSince Sep 23, 2011 Accepting new patients
Consulting Radiologists, LTD PastSince Jul 18, 2022 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.

Hospital & facility affiliations 25

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

View all 25

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

Sources for this page

Verify at the official NPI Registry.