JARETT EDWARD ROSEBERRY PHD., LP
NPI 1093230088
Psychologist in Coon Rapids, MN

Active since August 10, 2017PECOS EnrolledAccepts Medicare Assignment
83.53/100
CMS Quality Rating
11850 BLACKFOOT ST NW STE 400, COON RAPIDS, MN 55433(763) 236-8911 Get Directions Write a Review

NPPES record last updated: March 11, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 11, 2021, Aug 10, 2017 (2 updates tracked since 2017).

About Jarett Edward Roseberry Phd., Lp NPPES

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

JARETT EDWARD ROSEBERRY PHD., LP (NPI 1093230088) is an individual psychologist in Coon Rapids, Minnesota, licensed in Minnesota (LP6148) and active in the NPI registry since August 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1093230088
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameJARETT EDWARD ROSEBERRYCredential: PHD., LP
Location Address11850 BLACKFOOT ST NW STE 400Coon Rapids, MN 55433-2776
Mailing Address11850 Blackfoot St Nw Ste 405Coon Rapids, MN 55433-2773 · (763) 236-0888
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateAugust 10, 2017
Last NPPES UpdateMarch 11, 20212 updates tracked since enumeration
NPPES CertifiedMarch 11, 2021
NPI 1093230088 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Licenses Licensed in MN · LP6148 Licensed in WI · 3438-57
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
11850 BLACKFOOT ST NW STE 400, Coon Rapids, MN 55433

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

Jarett Edward Roseberry Phd., Lp 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 ID3072879188
PECOS Enrollment IDI20171106002546, I20181226000236
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.

Administration of psychological or neuropsychological test, each additional 30 minutes 96137
This procedure involves administering psychological or neuropsychological tests to evaluate your mental functions. Each additional 30 minutes allows for a more in-depth assessment of your cognitive abilities, emotions, and behavior. It's crucial for accurate diagnosis and treatment planning.
179 services63 patients
Evaluation of neuropsychological test, each additional hour 96133
This service involves further evaluation of your neuropsychological test results beyond the initial hour. It helps to understand your cognitive functioning better, focusing on areas like memory, attention, and problem-solving skills.
110 services65 patients
Evaluation of neuropsychological test, first hour 96132
An evaluation of neuropsychological tests is a process to assess your brain's function. It involves tasks designed to measure cognitive abilities such as memory, attention, problem-solving, and language skills. The first hour involves initial testing and observation.
66 services65 patients
Exam of neurobehavioral status, first hour 96116
An exam of neurobehavioral status is a medical procedure that evaluates your brain's functions. This includes assessing your cognitive abilities, emotional responses, and behavioral patterns. The first hour of the exam is typically dedicated to this initial evaluation.
64 services64 patients
Administration of psychological or neuropsychological test, first 30 minutes 96136
This procedure involves a health professional conducting a psychological or neuropsychological test. The first 30 minutes typically involve understanding your mental health or brain function through various assessments. This helps in diagnosing and treating mental health disorders effectively.
62 services62 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.79
Promoting Interoperability100
Improvement Activities40
Cost63.31

Other Providers at the Same Location NPPES 7

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

Occupational Therapist
11850 BLACKFOOT ST NW STE 400
COON RAPIDS, MN 55433
Physical Therapist
11850 BLACKFOOT ST NW STE 400
COON RAPIDS, MN 55433
Physical Therapist
11850 BLACKFOOT ST NW STE 400
COON RAPIDS, MN 55433
Nurse Practitioner (Acute Care)
11850 BLACKFOOT ST NW STE 400
COON RAPIDS, MN 55433
Physical Therapist
11850 BLACKFOOT ST NW STE 400
COON RAPIDS, MN 55433
Physical Therapy Assistant
11850 BLACKFOOT ST NW STE 400
COON RAPIDS, MN 55433
Occupational Therapist (Hand)
11850 BLACKFOOT ST NW STE 400
COON RAPIDS, MN 55433

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 Jarett Roseberry's NPI number?

The NPI number for Jarett Roseberry is 1093230088. It was assigned to this individual provider in the NPPES registry on August 10, 2017.

Where is Jarett Roseberry located?

Jarett Roseberry practices at 11850 Blackfoot St NW Ste 400, Coon Rapids, MN 55433. The listed phone number is (763) 236-8911.

What is Jarett Roseberry's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Jarett Roseberry enrolled in Medicare?

Yes. Jarett Roseberry 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.

When was this NPI record last updated?

The NPPES record for Jarett Roseberry was last updated on March 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.