Individual provider Active NPI

Natalie Kaye Rogotzke, PA-C

  • Physician Assistant
  • Waconia, MN
National Provider Identifier
1659076974
Registry record updated Jun 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
14407 Issued in MN
Practice address
424 W State Highway 5
Waconia, MN 55387-1795
Phone
(952) 442-4461
Fax
(952) 442-1547
NPI assigned
Apr 4, 2023
Last updated
Jun 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 14407 MN Primary

Addresses

Primary practice location

424 W State Highway 5
Waconia, MN 55387-1795

Mailing address

424 W State Highway 5
Waconia, MN 55387-1795
Phone (952) 442-4461

Other practice location 1

313 Territorial St E
Watertown, MN 55388-9284
Phone (952) 955-1921

Other practice location 2

406 Faxon Rd N
Norwood, MN 55368-9507
Phone (952) 467-2888

Other practice location 3

110105 Pioneer Trl W
Chaska, MN 55318-2680
Phone (952) 556-0120

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
I20230425001607 MN Practitioner - Physician Assistant 9133584261 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Drexel University College of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lakeview Clinic, LTD.Group PAC ID 6002801453, 52 clinicians

Practice addresses (Care Compare)

313 Territorial St E
Watertown, MN 55388-9284
Phone (952) 442-4461

406 Faxon Rd
Norwood, MN 55368-9507
Phone (952) 467-2888

424 W Hwy 5
Waconia, MN 55387-1723

424 W State Hwy 5
Waconia, MN 55387-1723
Phone (952) 442-4461

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
14407MNMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: natalierogotzke@tv.allscriptsdirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1680566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782777600000",
    "number": "1659076974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 W STATE HIGHWAY 5",
            "city": "WACONIA",
            "state": "MN",
            "postal_code": "553871795",
            "telephone_number": "952-442-4461",
            "fax_number": "952-442-1547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 W STATE HIGHWAY 5",
            "city": "WACONIA",
            "state": "MN",
            "postal_code": "553871795",
            "telephone_number": "952-442-4461",
            "fax_number": "952-442-1547"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "313 Territorial St E",
            "address_purpose": "LOCATION",
            "city": "Watertown",
            "state": "MN",
            "postal_code": "553889284",
            "country_code": "US",
            "telephone_number": "952-955-1921",
            "fax_number": "952-955-3115",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "406 Faxon Rd N",
            "address_purpose": "LOCATION",
            "city": "Norwood",
            "state": "MN",
            "postal_code": "553689507",
            "country_code": "US",
            "telephone_number": "952-467-2888",
            "fax_number": "952-467-3258",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "110105 Pioneer Trl W",
            "address_purpose": "LOCATION",
            "city": "Chaska",
            "state": "MN",
            "postal_code": "553182680",
            "country_code": "US",
            "telephone_number": "952-556-0120",
            "fax_number": "952-556-0121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROGOTZKE",
        "first_name": "NATALIE",
        "middle_name": "KAYE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-04",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MN",
            "license": "14407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waconia, MN

Sources for this page

Verify at the official NPI Registry.