JOHN ROLL APRN,CNS
NPI 1487022885
Clinical Nurse Specialist - Adult Health in Hettinger, ND
About John Roll Aprn,cns NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN ROLL APRN,CNS (NPI 1487022885) is an individual adult health provider in Hettinger, North Dakota, licensed in North Dakota (R36407) and active in the NPI registry since September 2015. He is enrolled in Medicare PECOS.
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 (PECOS)
John Roll Aprn,cns is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show John Roll reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Hettinger, ND 58639
- Reassigned Medicare billing, North Dakota enrollment
- Also billed through NPI 1518089499 (North Dakota)
- 28 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 58639 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 John Roll's NPI number?
The NPI number for John Roll is 1487022885. It was assigned to this individual provider in the NPPES registry on September 2, 2015.
Where is John Roll located?
John Roll practices at 1000 Highway 12, Hettinger, ND 58639. The listed phone number is (701) 567-4561.
What is John Roll's specialty?
The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Adult Health, with taxonomy code 364SA2200X.
Is John Roll enrolled in Medicare?
Yes. John Roll is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for John Roll's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Roll reassigns Medicare benefits to West River Health Services (Hettinger, ND). The 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 John Roll'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 John Roll was last updated on February 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# John Roll, APRN,CNS · NPI 1487022885
Adult Health physician in Hettinger, North Dakota. Individual provider, active in the CMS NPPES registry since September 2, 2015.
## Identity
- **NPI:** 1487022885 (Entity type: Individual)
- **Enumerated:** September 2, 2015
- **Primary specialty:** Clinical Nurse Specialist - Adult Health · taxonomy 364SA2200X
- **State license:** R36407 (North Dakota)
- **Sole proprietor:** No
## Practice location
- **Address:** 1000 HIGHWAY 12, Hettinger, ND 58639-7530
- **Phone:** (701) 567-4561
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** West River Health Services (NPI 1174606271, Hettinger, ND), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 16, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1487022885) · Data from the CMS NPPES public registry.