Roleen Ruth Walgenbach, RNP

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

R116915-7 Issued in MN

Practice address

425 7TH St NW
Cass Lake, MN 56633-3360

Phone

(218) 335-3200

NPI assigned

Aug 23, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: roleen.walgenbach.1@20239.direct.athenahealth.com

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.

• Department of Health & Human Services PHS IHS

  • Critical Access Hospital
  • Cass Lake, MN
  • NPI 1194754382

  TX

  Medicare reassignment NPD
• Greater Sioux Community Health Center Inc.

  • Federally Qualified Health Center (FQHC)
  • Sioux Center, IA
  • NPI 1053582098
  NPD
• Greater Sioux Community Health Center Inc.

  • Federally Qualified Health Center (FQHC)
  • Sioux Center, IA
  • NPI 1972398444
  NPD

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1467569095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 7TH ST NW",
            "city": "CASS LAKE",
            "state": "MN",
            "postal_code": "566333360",
            "telephone_number": "218-335-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 7TH ST NW",
            "city": "CASS LAKE",
            "state": "MN",
            "postal_code": "566333360",
            "telephone_number": "218-335-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALGENBACH",
        "first_name": "ROLEEN",
        "middle_name": "RUTH",
        "credential": "RNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-23",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "53270",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "R116915-7",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "58G75WA",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Total Renal Care Inc
• Anthony P Tranchita, PHD
• Stacey Kay Tysver- Nelson, PHARMD
• Christie Ann Van Hecke, FNP-BC
• Zachary Arden Hook Virnig, MA, LPCC
• Sharon Kay Walker, FNP-CNP
• Rachel Washburn, PHARMD
• Danielle Whalen, LPN
• Anna Marie Woods, D.D.S.
• Kathleen Wright, LICSW

• Family Medicine Physician in Cass Lake, MN
• Providers in Cass Lake, MN by specialty
• Family Medicine Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.