Individual provider Active NPI

David Jeremiah Roemhildt, PA-C

  • Physician Assistant
  • Mankato, MN
National Provider Identifier
1871125070
Registry record updated Feb 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1431 Premier Dr
Mankato, MN 56001-6076
Phone
(507) 386-6600
NPI assigned
Feb 6, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2020

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 Primary

Addresses

Primary practice location

1431 Premier Dr
Mankato, MN 56001-6076

Mailing address

1431 Premier Dr
Mankato, MN 56001-6076
Phone (507) 386-6600

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
I20200619002367 MN Practitioner - Physician Assistant 4981026978 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1411 Premier Dr
Mankato, MN 56001-6076
Phone (507) 388-6000

1431 Premier Dr
Mankato, MN 56001-6076
Phone (507) 386-6600

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13391MNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic & Fracture Clinic, P.a. CurrentSince Feb 3, 2020 Accepting new patients

Locations

1431 Premier Dr
Mankato, MN 56001
Phone (507) 386-4277

1900 Sunrise Dr
Saint Peter, MN 56082
Phone (507) 931-2200

Interoperability endpoints

  • Direct secure messaging: davidroemhildt@ofc.allscriptsdirect.net
  • Direct secure messaging: droemhildt601754@direct.centracare.com

Organizations & group practices 2

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": "1580947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580947200000",
    "number": "1871125070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1431 PREMIER DR",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560016076",
            "telephone_number": "507-386-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1431 PREMIER DR",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560016076",
            "telephone_number": "507-386-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROEMHILDT",
        "first_name": "DAVID",
        "middle_name": "JEREMIAH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-06",
        "last_updated": "2020-02-06",
        "certification_date": "2020-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mankato, MN

Sources for this page

Verify at the official NPI Registry.