John Roll, APRN,CNS

Primary specialty

Adult Health Clinical Nurse SpecialistTaxonomy code 364SA2200X

License

R36407 Issued in ND

Practice address

1000 Highway 12
Hettinger, ND 58639-7530

Phone

(701) 567-4561

NPI assigned

Sep 2, 2015

Last updated

Feb 16, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Specialist

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: johnroll@wrhs.allscriptsdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• West River Health Services

  dba Hettinger Clinic

  • Critical Access Hospital Clinic/Center
  • Hettinger, ND
  • NPI 1174606271
  Medicare reassignment NPD
• West River Health Services

  dba West River Regional Medical Center

  • Critical Access Hospital
  • Hettinger, ND
  • NPI 1588763247
  Medicare reassignment NPD
• West River Health Services

  dba West River Foot and Ankle Center

  • Clinic/Center
  • Dickinson, ND
  • NPI 1629169008
  NPD
• West River Health Services

  dba West River Regional Medical Center

  • Physical Therapy Clinic/Center
  • Mott, ND
  • NPI 1902526411
  NPD

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

{
    "created_epoch": "1441152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644969600000",
    "number": "1487022885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2010",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581222484",
            "telephone_number": "701-234-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 HIGHWAY 12",
            "city": "HETTINGER",
            "state": "ND",
            "postal_code": "586397530",
            "telephone_number": "701-567-4561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLL",
        "first_name": "JOHN",
        "credential": "APRN,CNS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-02",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "ND",
            "license": "R36407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Nudell, LRD, CDE
• Erika Pagel, PT
• Renee Pinder, APNP
• Carrie Ann Kathleen Ranum, MD
• Joshua Ranum, MD
• Liane Ruhland, LSW
• Monica Schaefer
• Mitchell C. Schultz, R.PH.
• Catherine E Shirek, MD
• Alex Thompson, DPT

• Adult Health Clinical Nurse Specialist in Hettinger, ND
• Providers in Hettinger, ND by specialty
• Adult Health Clinical Nurse Specialist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2022; 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.