Individual provider Active NPI

Pamela L. Rocklage, R.N.

  • Case Manager/Care Coordinator
  • Minneapolis, MN
National Provider Identifier
1972825040
Registry record updated Feb 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
License
R72595-8 Issued in MN
Practice address
801 Park Ave
Minneapolis, MN 55404-1136
Phone
(612) 343-3265
Fax
(612) 343-3267
NPI assigned
Feb 17, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X R72595-8 MN Primary

Addresses

Primary practice location

801 Park Ave
Minneapolis, MN 55404-1136

Mailing address

15060 December Way
Rosemount, MN 55068
Phone (612) 343-3265

Other names 1

  • Mrs. Pamela L. Norelius Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
R72595-8MNMDCase Manager/Care Coordinator

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Home Health Care, Inc. Past Accepting new patients
Midwest Professional Services, Inc. Past Accepting new patients

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": "1266364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266364800000",
    "number": "1972825040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15060 DECEMBER WAY",
            "city": "ROSEMOUNT",
            "state": "MN",
            "postal_code": "55068",
            "telephone_number": "612-343-3265",
            "fax_number": "612-343-3267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 PARK AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554041136",
            "telephone_number": "612-343-3265",
            "fax_number": "612-343-3267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCKLAGE",
        "first_name": "PAMELA",
        "middle_name": "L.",
        "name_prefix": "Mrs.",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-17",
        "last_updated": "2010-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "MN",
            "license": "R72595-8",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAMELA",
            "last_name": "NORELIUS",
            "middle_name": "L.",
            "prefix": "MRS.",
            "credential": "R.N.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.