Mary Catherine Roesler, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

864398 Issued in MN

Practice address

209 Washington St
Brainerd, MN 56401-3393

Phone

(218) 829-3529

NPI assigned

Mar 10, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Thrifty Drug Stores Inc

  • Community/Retail Pharmacy
  • Brainerd, MN
  • NPI 1134218738
  NPD (past)
• Thrifty Drug Stores Inc

  • Community/Retail Pharmacy
  • Wadena, MN
  • NPI 1710678545
  NPD (past)

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

{
    "created_epoch": "1615334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615334400000",
    "number": "1356926463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22719 CLEARWATER POINT RD",
            "city": "BRAINERD",
            "state": "MN",
            "postal_code": "564015619",
            "telephone_number": "218-766-7068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 WASHINGTON ST",
            "city": "BRAINERD",
            "state": "MN",
            "postal_code": "564013393",
            "telephone_number": "218-829-3529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROESLER",
        "first_name": "MARY",
        "middle_name": "CATHERINE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-10",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "864398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Alise Roberts, LICSW
• Richard Roberts
• Benjamin David Robertson, MD
• Katie Locke Rodriguez
• Stephanie Amber Rodriguez, IBCLC
• Genevieve Violet Louise Rohde
• Lauren Joy Roos, LMFT
• Amber Rosier, LICSW
• Kayla J Ross, APRN,CRNA
• Shosty Sue Roth, PA-C

• Registered Nurse in Brainerd, MN
• Providers in Brainerd, MN by specialty
• Registered Nurse in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.