Active NPI
Jacob Frederick Carolan, MD
- Neurology Physician
- Rochester, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 80136
- Practice address
- 5067 55TH St NW
Rochester, MN 55901-3809 - Phone
- (507) 292-7070
- NPI assigned
- Mar 27, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 80136 | MN | Primary |
Addresses
Primary practice location
5067 55TH St NW
Rochester, MN 55901-3809
Mailing address
5067 55TH St NW
Rochester, MN 55901-3809
Phone (507) 292-7070
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
210 N Oak Ave
Suite 100
Owatonna, MN 55060-2369
Phone (507) 288-3443
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Olmsted Medical Center | Multi-Specialty | Current | Accepting new patients |
| Olmsted Medical Center | Multi-Specialty | Current | Accepting new patients |
Locations
210 N Oak Ave
Ste 100
Owatonna, MN 55060
Phone (507) 935-5601
210 9th St SE
Rochester, MN 55904
Phone (507) 529-6616
5067 55th St NW
Rochester, MN 55901
Phone (507) 292-7070
1650 4th St SE
Rochester, MN 55904
Phone (507) 285-8485
Interoperability endpoints
- jcarolan26662@direct.olmmed.org
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754352000000",
"number": "1407484363",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5067 55TH ST NW",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "559013809",
"telephone_number": "507-292-7070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5067 55TH ST NW",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "559013809",
"telephone_number": "507-292-7070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAROLAN",
"first_name": "JACOB",
"middle_name": "FREDERICK",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-03-27",
"last_updated": "2025-08-05",
"certification_date": "2025-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": "MN",
"license": "80136",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rochester, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.