Individual provider Active NPI

Susan Roller Goehl-Manolis, APRN

  • Women's Health Nurse Practitioner
  • Eden Prairie, MN
National Provider Identifier
1629201751
Registry record updated Jan 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
1428 Issued in MN
Practice address
7525 Mitchell Rd Ste 315
Eden Prairie, MN 55344-1958
Phone
(952) 300-3016
Fax
(952) 353-9635
NPI assigned
Aug 24, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X NP1196272 MN
Women's Health Nurse Practitioner 363LW0102X 1428 MN Primary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X 1428 MN

Addresses

Primary practice location

7525 Mitchell Rd Ste 315
Eden Prairie, MN 55344-1958

Mailing address

7525 Mitchell Rd Ste 315
Eden Prairie, MN 55344-1958
Phone (952) 300-3016

Other names 1

  • Susan Goehl Hemme Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Apr 1, 2015 through Apr 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1428MNMDAcupuncturist
NP1196272MNMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Conceivable Fertility and Wellness, LLC Women'S Health CurrentSince Nov 5, 2023 Accepting new patients

Locations

7525 Mitchell Rd
Ste 315
Eden Prairie, MN 55344
Phone (708) 325-8252

8941 Aztec Dr
Ste A
Eden Prairie, MN 55347

Organizations & group practices 1

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": "1251072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767744000000",
    "number": "1629201751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7525 MITCHELL RD STE 315",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553441958",
            "telephone_number": "952-300-3016",
            "fax_number": "952-353-9635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7525 MITCHELL RD STE 315",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553441958",
            "telephone_number": "952-300-3016",
            "fax_number": "952-353-9635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOEHL-MANOLIS",
        "first_name": "SUSAN",
        "middle_name": "ROLLER",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-24",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MN",
            "license": "NP1196272",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MN",
            "license": "1428",
            "primary": true
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "MN",
            "license": "1428",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "HEMME",
            "middle_name": "GOEHL",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Eden Prairie, MN

Sources for this page

Verify at the official NPI Registry.