Andrew Kern Rosdhal, APRN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

11572 Issued in MN

Practice address

13792 Reimer Dr N
Maple Grove, MN 55311-2219

Phone

(763) 458-9494

NPI assigned

Jun 10, 2024

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 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

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• The Modern Experience Clinic LLC

  • Psychiatry Physician
  • Maple Grove, MN
  • NPI 1427921295
  Medicare reassignment

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

{
    "created_epoch": "1717977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768780800000",
    "number": "1770325763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13792 REIMER DR N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553112219",
            "telephone_number": "763-458-9494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13792 REIMER DR N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553112219",
            "telephone_number": "763-458-9494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSDHAL",
        "first_name": "ANDREW",
        "middle_name": "KERN",
        "name_prefix": "Mr.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-10",
        "last_updated": "2026-01-19",
        "certification_date": "2026-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MN",
            "license": "11572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Rohman, MD
• Rachel Roller
• Abdirahman Ibrahim Rone, DNP, APRN, CNP
• Roots Psychological Services, LLC
• Anne Rosario, P.A.
• Gary Bernard Rosen, M.D.
• Mary K. Rosenberg, APRN CNP
• Kristine Carol Rosenthal, DDS
• Robert Christopher Rothaar, MD
• Noah Andrew Rounds, DDS

• Psychiatric/Mental Health Nurse Practitioner in Maple Grove, MN
• Providers in Maple Grove, MN by specialty
• Psychiatric/Mental Health Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2026; 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.

Verify at the official NPI Registry.