John Roll, APRN,CNS - Medicare Clinical Nurse Specialist in Hettinger, ND

John Roll, APRN,CNS is a medicare enrolled "Clinical Nurse Specialist - Adult Health" in Hettinger, North Dakota. His current practice location is 1000 Highway 12, Hettinger, North Dakota. You can reach out to his office (for appointments etc.) via phone at (701) 567-4561.

John Roll is licensed to practice in North Dakota (license number R36407) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1487022885.

Contact Information

John Roll, APRN,CNS
1000 Highway 12,
Hettinger, ND 58639-7530
(701) 567-4561
Not Available



Provider's Profile

Full NameJohn Roll
GenderMale
SpecialityClinical Nurse Specialist - Adult Health
Location1000 Highway 12, Hettinger, North Dakota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1487022885
  • Provider Enumeration Date: 09/02/2015
  • Last Update Date: 02/16/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 7810206505
  • Enrollment ID: I20151020001812

Medical Identifiers

Medical identifiers for John Roll such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1487022885NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
364SA2200XClinical Nurse Specialist - Adult Health R36407 (North Dakota)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. John Roll allows following entities to bill medicare on his behalf.
Entity NameWest River Health Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174606271
PECOS PAC ID: 0042127045
Enrollment ID: O20040128001023

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Entity NameWest River Health Services
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1588763247
PECOS PAC ID: 0042127045
Enrollment ID: O20100909000218

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. John Roll is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
John Roll, APRN,CNS
Po Box 2010,
Fargo, ND 58122-2484

Ph: (701) 234-2000
John Roll, APRN,CNS
1000 Highway 12,
Hettinger, ND 58639-7530

Ph: (701) 567-4561

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Clinical Nurse Specialist Nurses in Hettinger, ND


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