Active NPI
Gwenn R Rosenau, CNNP
- Critical Care Neonatal Nurse Practitioner
- Rochester, MN
National Provider Identifier
1568526564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Neonatal Nurse Practitioner
- License
- CNP 0423
- Practice address
- 200 1St St SW
Rochester, MN 55905-0001 - Phone
- (507) 284-2511
- NPI assigned
- Dec 21, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | R2108191 | MN | |
| Neonatal Nurse Practitioner | 363LN0000X | R028749-CNP 0423 | SD | |
| Neonatal Nurse Practitioner | 363LN0000X | C-APN.0102729-C-APN | CO | |
| Critical Care Neonatal Nurse Practitioner | 363LN0005X | CNP 0423 | SD | Primary |
| Critical Care Neonatal Nurse Practitioner | 363LN0005X | C-RXN.0101787-C-NP | CO | |
| Critical Care Neonatal Nurse Practitioner | 363LN0005X | K158054 | IA |
Addresses
Primary practice location
200 1St St SW
Rochester, MN 55905-0001
Mailing address
200 1St St SW
Rochester, MN 55905-0001
Phone (507) 284-2511
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R2108191 | MN | MD | Nurse Practitioner |
| C-APN.0102729-C-APN | CO | MD | Neonatal Nurse Practitioner |
| R028749-CNP 0423 | SD | MD | Neonatal Nurse Practitioner |
| C-RXN.0101787-C-NP | CO | MD | Critical Care Neonatal Nurse Practitioner |
| K158054 | IA | MD | Critical Care Neonatal Nurse Practitioner |
| CNP 0423 | SD | MD | Critical Care Neonatal Nurse Practitioner |
Interoperability endpoints
- gwenn.rosenau@avera.sdhealthlink.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724284800000",
"number": "1568526564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 1ST ST SW",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "559050001",
"telephone_number": "507-284-2511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 1ST ST SW",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "559050001",
"telephone_number": "507-284-2511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSENAU",
"first_name": "GWENN",
"middle_name": "R",
"credential": "CNNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-21",
"last_updated": "2024-08-22",
"certification_date": "2024-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MN",
"license": "R2108191",
"primary": false
},
{
"code": "363LN0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal",
"state": "SD",
"license": "R028749-CNP 0423",
"primary": false
},
{
"code": "363LN0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal",
"state": "CO",
"license": "C-APN.0102729-C-APN",
"primary": false
},
{
"code": "363LN0005X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal, Critical Care",
"state": "SD",
"license": "CNP 0423",
"primary": true
},
{
"code": "363LN0005X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal, Critical Care",
"state": "CO",
"license": "C-RXN.0101787-C-NP",
"primary": false
},
{
"code": "363LN0005X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal, Critical Care",
"state": "IA",
"license": "K158054",
"primary": false
}
],
"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 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.