ROSALYNN VERTIZ-HACKETT PA
NPI 1053411157
Physician Assistant in White Bear Lake, MN

Active since September 25, 2006PECOS EnrolledAccepts Medicare Assignment
1430 HIGHWAY 96 E, WHITE BEAR LAKE, MN 55110(651) 653-2100(651) 653-2125 Get Directions Write a Review

NPPES record last updated: January 11, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Rosalynn Vertiz-hackett Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROSALYNN VERTIZ-HACKETT PA (NPI 1053411157) is an individual physician assistant in White Bear Lake, Minnesota, licensed in Minnesota (11431) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, is affiliated with Regions Hospital, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1053411157
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameROSALYNN VERTIZ-HACKETTCredential: PA
Location Address1430 HIGHWAY 96 EWhite Bear Lake, MN 55110-3653
Mailing Address8170 33rd Ave S- Po Box 1309, Mail Stop 21110qMinneapolis, MN 55425-4516 · (651) 653-2100 · Fax (651) 653-2125
Fax(651) 653-2125
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateSeptember 25, 2006
Last NPPES UpdateJanuary 11, 2016
NPI 1053411157 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in MN · 11431 Licensed in TX · PA04432
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1430 HIGHWAY 96 E, White Bear Lake, MN 55110

Other Identifiers 1

Medicare PIN00N29FTX

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Rosalynn Vertiz-hackett Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6507094984
PECOS Enrollment IDI20140109001150
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
70 services39 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
59 services31 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
58 services50 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
19 services19 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Regions Hospital

Acute Care Hospitals · Saint Paul, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240106
Location640 Jackson StreetSaint Paul, MN 55101 · Ramsey County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55110 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
1430 HIGHWAY 96 E
WHITE BEAR LAKE, MN 55110
Pediatrics
1430 HIGHWAY 96 E
WHITE BEAR LAKE, MN 55110
Family Medicine
1430 HIGHWAY 96 E
WHITE BEAR LAKE, MN 55110
Nurse Practitioner (Primary Care)
1430 HIGHWAY 96 E
WHITE BEAR LAKE, MN 55110
Family Medicine
1430 HIGHWAY 96 E
WHITE BEAR LAKE, MN 55110
Dentist (General Practice)
1430 HIGHWAY 96 E
WHITE BEAR LAKE, MN 55110
Clinic/Center
1430 HIGHWAY 96 E
WHITE BEAR LAKE, MN 55110
Pediatrics
1430 HIGHWAY 96 E
WHITE BEAR LAKE, MN 55110

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rosalynn Vertiz-hackett's NPI number?

The NPI number for Rosalynn Vertiz-hackett is 1053411157. It was assigned to this individual provider in the NPPES registry on September 25, 2006.

Where is Rosalynn Vertiz-hackett located?

Rosalynn Vertiz-hackett practices at 1430 Highway 96 E, White Bear Lake, MN 55110. The listed phone number is (651) 653-2100.

What is Rosalynn Vertiz-hackett's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Rosalynn Vertiz-hackett enrolled in Medicare?

Yes. Rosalynn Vertiz-hackett is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Rosalynn Vertiz-hackett accept?

Health plans from HealthPartners and Medica list Rosalynn Vertiz-hackett as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Rosalynn Vertiz-hackett affiliated with any hospitals?

According to CMS data, Rosalynn Vertiz-hackett is affiliated with Regions Hospital.

When was this NPI record last updated?

The NPPES record for Rosalynn Vertiz-hackett was last updated on January 11, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.