JARETT EDWARD ROSEBERRY PHD., LP
NPI 1093230088
Psychologist in Coon Rapids, MN
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
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
2Medicare enrollment records show Jarett Roseberry reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Coon Rapids, MN 55433
- Reassigned Medicare billing, Minnesota and Wisconsin enrollments
- Also billed through NPI 1649576091 (Minnesota), NPI 1407395247 (Wisconsin)
- 2,609 clinicians in this Medicare group
Mequon, WI 53097
- Reassigned Medicare billing, Wisconsin enrollment
- Medicare enrollment name: Columbia St Marys Hospital Milwaukee Inc
- 856 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
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.
COON RAPIDS, MN 55433
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.
Which organizations bill Medicare for Jarett Roseberry's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jarett Roseberry reassigns Medicare benefits to 2 organizations: Allina Health System (Coon Rapids, MN) and Columbia St. Mary's Hospital Milwaukee, Inc (Mequon, WI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jarett Roseberry's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.