Active NPI
Kendra Leigh Roloff, ARNP
- Women's Health Nurse Practitioner
- Los Altos Hills, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- R33969
- Practice address
- 14355 Miranda Way
Los Altos Hills, CA 94022-2032 - Phone
- (701) 989-5885
- NPI assigned
- Jul 21, 2008
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 296582 | AZ | |
| Women's Health Nurse Practitioner | 363LW0102X | 1130981 | TX | |
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | ARNP9278854 | FL | |
| Women's Health Nurse Practitioner | 363LW0102X | R33969 | ND | Primary |
Addresses
Primary practice location
14355 Miranda Way
Los Altos Hills, CA 94022-2032
Mailing address
3100 N 11TH St Ste 1
Bismarck, ND 58503-1210
Phone (701) 751-2272
Other practice location 1
3100 N 11th St Ste 1
Bismarck, ND 58503-1210
Phone (701) 751-2272
Other practice location 2
1531 32nd Ave S Ste 102
Fargo, ND 58103-5911
Phone (888) 731-8994
Other practice location 3
4254 W Orchid Ln
Chandler, AZ 85226-7246
Phone (888) 731-8994
Other practice location 4
112 Maverick Ct
Granbury, TX 76049-1381
Phone (888) 731-8994
Other practice location 5
20 Foundry St Fl 2
Concord, NH 03301-5419
Phone (888) 731-8994
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 19953 | Medicaid | ND |
Other names 1
- Kendra Leigh Knodel
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3100 N 11TH St
Suite 1
Bismarck, ND 58503-1210
Phone (701) 751-2272
683 State Ave
Dickinson, ND 58601-4660
Phone (701) 483-9400
Hospital & facility affiliations
- CHI St Alexius Health
- Trinity Hospitals
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 296582 | AZ | MD | Women's Health Nurse Practitioner |
| R33969 | ND | MD | Women's Health Nurse Practitioner |
| 1130981 | TX | MD | Women's Health Nurse Practitioner |
| ARNP9278854 | FL | MD | Obstetrics & Gynecology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bradley Gynecology, P.C. | Current | Accepting new patients | |
| Bladder Care Inc | Current | Accepting new patients | |
| St. Alexius Medical Center | Current | Accepting new patients |
Locations
3100 N 11th St
Ste 1
Bismarck, ND 58503
Phone (701) 712-0066
401 N 9th St
Bismarck, ND 58501
Phone (701) 530-6000
Interoperability endpoints
- kendra.roloff.1@13694.direct.athenahealth.com
- https://api.platform.athenahealth.com/13694/brand/1/csg/1/fhir/r4
- kendra.roloff.1@27069.direct.athenahealth.com
Organizations & group practices 4
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.
-
- Gynecology Physician
- Bismarck, ND
- NPI 1770332975
-
- Family Nurse Practitioner
- Bismarck, ND
- NPI 1699024588
-
- Rehabilitation Clinic/Center
- Dickinson, ND
- NPI 1730280371
-
- General Acute Care Hospital
- Bismarck, ND
- NPI 1306832654
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bismarck, ND
- NPI 1306832654
-
- General Acute Care Hospital
- Minot, ND
- NPI 1427103910
-
- Substance Use Disorder Rehabilitation Hospital Unit
- Minot, ND
- NPI 1487804092
-
- General Acute Care Hospital
- Minot, ND
- NPI 1932359544
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741824000000",
"number": "1285899138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3100 N 11TH ST STE 1",
"city": "BISMARCK",
"state": "ND",
"postal_code": "585031210",
"telephone_number": "701-751-2272",
"fax_number": "701-751-0974"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14355 MIRANDA WAY",
"city": "LOS ALTOS HILLS",
"state": "CA",
"postal_code": "940222032",
"telephone_number": "701-989-5885"
}
],
"practiceLocations": [
{
"address_1": "3100 N 11th St Ste 1",
"address_purpose": "LOCATION",
"city": "Bismarck",
"state": "ND",
"postal_code": "585031210",
"country_code": "US",
"telephone_number": "701-751-2272",
"fax_number": "701-751-0974",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1531 32nd Ave S Ste 102",
"address_purpose": "LOCATION",
"city": "Fargo",
"state": "ND",
"postal_code": "581035911",
"country_code": "US",
"telephone_number": "888-731-8994",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4254 W Orchid Ln",
"address_purpose": "LOCATION",
"city": "Chandler",
"state": "AZ",
"postal_code": "852267246",
"country_code": "US",
"telephone_number": "888-731-8994",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "112 Maverick Ct",
"address_purpose": "LOCATION",
"city": "Granbury",
"state": "TX",
"postal_code": "760491381",
"country_code": "US",
"telephone_number": "888-731-8994",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "20 Foundry St Fl 2",
"address_purpose": "LOCATION",
"city": "Concord",
"state": "NH",
"postal_code": "033015419",
"country_code": "US",
"telephone_number": "888-731-8994",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROLOFF",
"first_name": "KENDRA",
"middle_name": "LEIGH",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-21",
"last_updated": "2025-03-13",
"certification_date": "2025-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "AZ",
"license": "296582",
"primary": false
},
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "TX",
"license": "1130981",
"primary": false
},
{
"code": "363LX0001X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": "FL",
"license": "ARNP9278854",
"primary": false
},
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "ND",
"license": "R33969",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "19953",
"state": "ND"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KENDRA",
"last_name": "KNODEL",
"middle_name": "LEIGH",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Los Altos Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2025; 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.