Elizabeth Roeske, MD
Psychiatry & Neurology, Psychiatry in St Louis Park, MN. Individual provider (NPI-1).
NPI number1962022368
StatusActive
Last updated in NPPESNov 21, 2024
Details
- NPI
- 1962022368
- Entity type
- Individual (NPI-1)
- Name
- Elizabeth Roeske
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 26, 2020
- Certification date
- Nov 21, 2024
- Last updated
- Nov 21, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PSYCHIATRY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | 70515 | MN | Yes |
Practice location
3800 Park Nicollet Blvd Fl 3St Louis Park, MN 55416-2527
Phone 612-873-3000
Mailing address
8170 33rd Ave S # Ms 21110qBloomington, MN 55425-4516
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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