Ellen Rosser, AGNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

H136051 Issued in IA

Practice address

1 Federal Dr Ste 1950
Fort Snelling, MN 55111-4080

Phone

(612) 505-6369

NPI assigned

Aug 10, 2015

Sex

Female

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 IA

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1439164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692662400000",
    "number": "1912383258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FEDERAL DR STE 1950",
            "city": "FORT SNELLING",
            "state": "MN",
            "postal_code": "551114080",
            "telephone_number": "612-505-6369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 FEDERAL DR STE 1950",
            "city": "FORT SNELLING",
            "state": "MN",
            "postal_code": "551114080",
            "telephone_number": "612-505-6369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSSER",
        "first_name": "ELLEN",
        "credential": "AGNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-10",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IA",
            "license": "H136051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hayley Fischer
• Steven Bradley Henkels, NP-C
• Allie Kaigle, PHARMD, BCPP
• Minneapolis Vamc
• Jean Y Mok, PHARMD
• Ivan Sabin
• James Selmon-Vasser, PSYD
• Upper Mississippi Academy
• Heather Lynn Wehner, PHARMD
• Susan Stewart Whiteaker, LICSW

• Adult Health Nurse Practitioner in Fort Snelling, MN
• Providers in Fort Snelling, MN by specialty
• Adult Health Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.