Individual provider Active NPI

Kendra Leigh Roloff, ARNP

  • Women's Health Nurse Practitioner
  • Los Altos Hills, CA
National Provider Identifier
1285899138
Registry record updated Mar 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
R33969 Issued in ND
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

Updated by the provider on Mar 13, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
19953MedicaidND

Other names 1

  • Kendra Leigh Knodel Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090406000349 ND Practitioner - Nurse Practitioner 1759458094 Reassigns benefits to 2 organizations

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
Bradley Gynecology PCGroup PAC ID 2163961855, 8 clinicians
Omaha Therapy IncGroup PAC ID 1557270915, 68 clinicians

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 Hospital, Bismarck, ND, CCN 350002
  • Trinity Hospitals Hospital, Minot, ND, CCN 350006

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
296582AZMDWomen's Health Nurse Practitioner
R33969NDMDWomen's Health Nurse Practitioner
1130981TXMDWomen's Health Nurse Practitioner
ARNP9278854FLMDObstetrics & Gynecology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bradley Gynecology, P.C. CurrentSince Oct 1, 2024 Accepting new patients
Bladder Care Inc CurrentSince Jan 1, 2017 Accepting new patients
St. Alexius Medical Center CurrentSince Oct 1, 2024 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

  • Direct secure messaging: kendra.roloff.1@13694.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/13694/brand/1/csg/1/fhir/r4
  • Direct secure messaging: 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.

Hospital & facility affiliations 7

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

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

Verify at the official NPI Registry.