Individual provider Active NPI

Zahra Roble

  • Gerontology Nurse Practitioner
  • Minneapolis, MN
National Provider Identifier
1437506417
Registry record updated Feb 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
CNP4520 Issued in MN
Practice address
1516 E Lake St Ste 1512
Minneapolis, MN 55407-1997
Phone
(651) 361-0029
NPI assigned
May 19, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X CNP4520 MN
Gerontology Nurse Practitioner 363LG0600X CNP4520 MN Primary

Addresses

Primary practice location

1516 E Lake St Ste 1512
Minneapolis, MN 55407-1997

Mailing address

465 Wabasha St S Apt 1B
Saint Paul, MN 55107-1167
Phone (651) 361-0029

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
I20160928000188 MN Practitioner - Nurse Practitioner 0244527760 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1406 6TH Ave N
Saint Cloud, MN 56303-1900

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CNP4520MNMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healtheast Medical Research Institute CurrentSince Feb 20, 2026 Accepting new patients
Healtheast Medical Research Institute CurrentSince Feb 20, 2026 Accepting new patients
Centracare Clinic Current Accepting new patients
Medina Medical Clinic & Urgent Care CurrentSince Mar 1, 2021 Accepting new patients
Centracare Clinic CurrentSince Mar 1, 2024 Accepting new patients
Centracare Clinic CurrentSince Mar 1, 2024 Accepting new patients
Vitreoretinal Surgery PLLC PastSince Sep 5, 2016 Accepting new patients

Locations

1516 E Lake St
Ste 1512
Minneapolis, MN 55407
Phone (612) 345-4929

1900 Centracare Cir
Saint Cloud, MN 56303
Phone (320) 252-2422

1700 University Ave W
Fl 6
Saint Paul, MN 55104
Phone (651) 232-2273

2945 Hazelwood St
Ste 200
Saint Paul, MN 55109
Phone (612) 440-6315

2945 Hazelwood St
Ste 100
Saint Paul, MN 55109
Phone (651) 232-7800

1875 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 232-6700

1825 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 232-6700

Interoperability endpoints

  • Direct secure messaging: zroble809196@direct.centracare.com

Organizations & group practices 8

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 1

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": "1463616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643846400000",
    "number": "1437506417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 WABASHA ST S APT 1B",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551071167",
            "telephone_number": "651-361-0029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1516 E LAKE ST STE 1512",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554071997",
            "telephone_number": "651-361-0029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBLE",
        "first_name": "ZAHRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-19",
        "last_updated": "2022-02-03",
        "certification_date": "2022-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MN",
            "license": "CNP4520",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MN",
            "license": "CNP4520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.