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NICHOLAS ROSCULET MD
NPI 1104216480
Pediatrics - Pediatric Critical Care Medicine in Minneapolis, MN

Active since January 26, 2015PECOS EnrolledAccepts Medicare Assignment
2530 CHICAGO AVE STE 400, MINNEAPOLIS, MN 55404(612) 813-3300(612) 813-3349 Get Directions Write a Review

NPPES record last updated: June 28, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 28, 2024, Jun 19, 2024 (2 updates tracked since 2024).

About Nicholas Rosculet Md NPPES

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

NICHOLAS ROSCULET MD (NPI 1104216480) is an individual pediatric critical care medicine provider in Minneapolis, Minnesota, licensed in Minnesota (76842) and active in the NPI registry since January 2015. He is enrolled in Medicare PECOS and is a graduate of Johns Hopkins University School Of Medicine (2018).

NPPES Registry Identity

NPI1104216480
Entity TypeIndividualMale
Primary Taxonomy2080P0203X
Provider Legal NameNICHOLAS ROSCULETCredential: MD
Location Address2530 CHICAGO AVE STE 400Minneapolis, MN 55404-4387
Mailing Address2530 Chicago Ave Ste 400Minneapolis, MN 55404-4387 · (612) 813-3300 · Fax (612) 813-3349
Phone(612) 813-3300
Fax(612) 813-3349
Sole ProprietorNo
Medical School CMSJohns Hopkins University School Of MedicineGraduated 2018
Enumeration DateJanuary 26, 2015
Last NPPES UpdateJune 28, 20242 updates tracked since enumeration
NPPES CertifiedJune 28, 2024
✔ NPI 1104216480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
License✔ Licensed in MN · 76842
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Also ListedPediatricsTaxonomy 208000000X · License 76842 (MN)
2530 CHICAGO AVE STE 400, Minneapolis, MN 55404
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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

Nicholas Rosculet Md 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 ID1456899632
PECOS Enrollment IDI20240819004128
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Nicholas Rosculet reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Children's Respiratory & Critical Care Specialists. P.A.
Same address
Pediatric Pulmonology
2530 CHICAGO AVE, SUITE 400
Minneapolis, MN 55404
  • Reassigned Medicare billing, Minnesota enrollment
  • Medicare enrollment name: Children's Respiratory & Critical Care Specialists PA
  • 38 clinicians in this Medicare group
NPI 1003816505 (612) 813-3300
Gillette Children's Specialty Healthcare
8.2 mi
Multi-Specialty
200 EAST UNIVERSITY AVE
St. Paul, MN 55101
  • Reassigned Medicare billing, Minnesota enrollment
  • Medicare enrollment name: Gillette Childrens Specialty Healthcare
  • 304 clinicians in this Medicare group
NPI 1225119175 (651) 291-2848

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

ALBERTO ORIOLES MD
Pediatrics (Pediatric Critical Care Medicine)
2530 CHICAGO AVE STE 400
MINNEAPOLIS, MN 55404
Hennepin County (612) 813-3300
DR. ASHLEY ELIZABETH WILSON MD
Pediatrics (Pediatric Critical Care Medicine)
2530 CHICAGO AVE STE 400
MINNEAPOLIS, MN 55404
Hennepin County (612) 813-3300
NITAL PATEL M.D.
Pediatrics (Pediatric Critical Care Medicine)
2530 CHICAGO AVE STE 400
MINNEAPOLIS, MN 55404
Hennepin County (612) 813-3300
MS. KENDALL BIALLAS BAUMGARTNER CPNP-AC
Nurse Practitioner (Pediatrics, Critical Care)
2530 CHICAGO AVE STE 400
MINNEAPOLIS, MN 55404
Hennepin County (612) 813-3300
DR. KATHERINE ELIZABETH KRUSE M.D.
Pediatrics (Pediatric Critical Care Medicine)
2530 CHICAGO AVE STE 400
MINNEAPOLIS, MN 55404
Hennepin County (612) 813-3300
DR. REBECCA ROSE SPURR MD
Pediatrics (Pediatric Pulmonology)
2530 CHICAGO AVE STE 400
MINNEAPOLIS, MN 55404
Hennepin County (612) 813-3300
NANDINI KATARIA MD
Pediatrics (Pediatric Pulmonology)
2530 CHICAGO AVE STE 400
MINNEAPOLIS, MN 55404
Hennepin County (612) 813-3300
ALICIA M TEAGARDEN D.O.
Pediatrics (Pediatric Critical Care Medicine)
2530 CHICAGO AVE STE 400
MINNEAPOLIS, MN 55404
Hennepin County (612) 813-3300

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 Nicholas Rosculet's NPI number?

The NPI number for Nicholas Rosculet is 1104216480. It was assigned to this individual provider in the NPPES registry on January 26, 2015.

Where is Nicholas Rosculet located?

Nicholas Rosculet practices at 2530 Chicago Ave Ste 400, Minneapolis, MN 55404. The listed phone number is (612) 813-3300.

What is Nicholas Rosculet's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Nicholas Rosculet enrolled in Medicare?

Yes. Nicholas Rosculet 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 Nicholas Rosculet's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicholas Rosculet reassigns Medicare benefits to 2 organizations: Children's Respiratory & Critical Care Specialists. P.A. (Minneapolis, MN) and Gillette Children's Specialty Healthcare (St. Paul, MN). 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 Nicholas Rosculet'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 Nicholas Rosculet was last updated on June 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.