Active NPI
Matthew J Roesner, PA-C
- Physician Assistant
- Crete, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 2016
- Practice address
- 2910 Betten Dr
Crete, NE 68333-3084 - Phone
- (402) 826-2102
- NPI assigned
- May 24, 2016
- Last updated
- May 24, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 2016 | NE | Primary |
Addresses
Primary practice location
2910 Betten Dr
Crete, NE 68333-3084
Mailing address
PO Box 220
Crete, NE 68333-0220
Phone (402) 826-2102
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE, IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2115 14TH St
Suite 100
Auburn, NE 68305-1760
Phone (402) 274-4993
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Salahuddin Syed MD PC | Current | Accepting new patients | |
| Unitypoint Health - Marshalltown | Current | Accepting new patients | |
| Unitypoint Health - Marshalltown | Current | Accepting new patients | |
| Clarinda Regional Health Center | Current | Accepting new patients | |
| Alegent Creighton Clinic | Physician Assistant | Current | Accepting new patients |
Locations
220 Essie Davison Dr
Clarinda, IA 51632
Phone (712) 542-8330
800 Mercy Dr
Council Bluffs, IA 51503
Phone (712) 328-5000
800 Mercy Dr
Ste 220
Council Bluffs, IA 51503
Phone (712) 388-2660
55 Unitypoint Way
Marshalltown, IA 50158
Phone (641) 754-5145
Organizations & group practices 8
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.
-
- Family Medicine Physician
- Auburn, NE
- NPI 1821169459
-
dba CHI Health Clinic
- Family Medicine Physician
- Council Bluffs, IA
- NPI 1598811069
Physician Assistant
-
- Emergency Medicine Physician
- Marshalltown, IA
- NPI 1164957593
-
dba Clarinda Medical Associates
- Family Medicine Physician
- Clarinda, IA
- NPI 1629196241
-
- Critical Access Hospital
- Clarinda, IA
- NPI 1366486946
-
- Anatomic Pathology & Clinical Pathology Physician
- Marshalltown, IA
- NPI 1083054464
-
dba Unitypoint Clinic - Family Medicine - Rohlf Memorial
- Rural Health Clinic/Center
- Waverly, IA
- NPI 1124655006
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Medicare Defined Swing Bed Hospital Unit
- Auburn, NE
- NPI 1790729101
Nursing home
-
- Critical Access Hospital
- Auburn, NE
- NPI 1891736237
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464048000000",
"number": "1760830335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 220",
"city": "CRETE",
"state": "NE",
"postal_code": "683330220",
"telephone_number": "402-826-2102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2910 BETTEN DR",
"city": "CRETE",
"state": "NE",
"postal_code": "683333084",
"telephone_number": "402-826-2102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROESNER",
"first_name": "MATTHEW",
"middle_name": "J",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-05-24",
"last_updated": "2016-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NE",
"license": "2016",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Crete, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2016; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.