1. Home
  2. Directory
  3. Minnesota
  4. Minneapolis
  5. Physician Assistant
  6. NPI Profile

NICHALAS ROLPH
NPI 1558109090
Physician Assistant in Minneapolis, MN

Active since July 18, 2024PECOS EnrolledAccepts Medicare Assignment
800 E 28TH ST, MINNEAPOLIS, MN 55407(612) 262-8425 Get Directions Write a Review

NPPES record last updated: April 23, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 23, 2026, Jul 18, 2024 (2 updates tracked since 2024).

About Nichalas Rolph NPPES

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

NICHALAS ROLPH (NPI 1558109090) is an individual physician assistant in Minneapolis, Minnesota, licensed in Minnesota (15666) and active in the NPI registry since July 2024. He is enrolled in Medicare PECOS, is affiliated with Abbott Northwestern Hospital, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1558109090
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameNICHALAS ROLPH
Location Address800 E 28TH STMinneapolis, MN 55407-3723
Mailing Address2925 Chicago AveMinneapolis, MN 55407-1321 · (612) 262-9000
Phone(612) 262-8425
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJuly 18, 2024
Last NPPES UpdateApril 23, 20262 updates tracked since enumeration
NPPES CertifiedApril 23, 2026
✔ NPI 1558109090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MN · 15666
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
800 E 28TH ST, Minneapolis, MN 55407
Open in Google Maps ↗

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

Nichalas Rolph 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 ID6709353501
PECOS Enrollment IDI20260429003154
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.

Hospital Affiliations CMS Care Compare

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

Abbott Northwestern Hospital

Acute Care Hospitals · Minneapolis, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240057
Location800 East 28th StreetMinneapolis, MN 55407 · Hennepin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55407 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.

TAYLOR PETERSON OTR/L
Occupational Therapist
800 E 28TH ST
MINNEAPOLIS, MN 55407
Hennepin County (612) 863-4000
ANDREW RICHARD ERICKSON CRNA
Nurse Anesthetist, Certified Registered
800 E 28TH ST
MINNEAPOLIS, MN 55407
Hennepin County (612) 863-4000
JOHN HUNN
Physical Therapist
800 E 28TH ST
MINNEAPOLIS, MN 55407
Hennepin County (218) 393-6255
DR. BRANDY KOZITZA DNP, APRN, ACCNS-AG
Physical Medicine & Rehabilitation
800 E 28TH ST
MINNEAPOLIS, MN 55407
Hennepin County (612) 863-0879
JACQUELINE MARIE GASPERLIN PA-C
Physician Assistant
800 E 28TH ST
MINNEAPOLIS, MN 55407
Hennepin County (612) 863-4000
JULIA ELIZABETH MCNAUGHTON PT, DPT
Physical Therapist
800 E 28TH ST
MINNEAPOLIS, MN 55407
Hennepin County (612) 863-4000
DONNA A SKOOG NP
Nurse Practitioner (Gerontology)
800 E 28TH ST, H2100
MINNEAPOLIS, MN 55407
Hennepin County (612) 775-3030
ROBERT E MCKLVEEN M.D.
Anesthesiology
800 E 28TH ST
MINNEAPOLIS, MN 55407
Hennepin County (612) 871-7639

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 Nichalas Rolph's NPI number?

The NPI number for Nichalas Rolph is 1558109090. It was assigned to this individual provider in the NPPES registry on July 18, 2024.

Where is Nichalas Rolph located?

Nichalas Rolph practices at 800 E 28th St, Minneapolis, MN 55407. The listed phone number is (612) 262-8425.

What is Nichalas Rolph's specialty?

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

Is Nichalas Rolph enrolled in Medicare?

Yes. Nichalas Rolph 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.

Is Nichalas Rolph affiliated with any hospitals?

According to CMS data, Nichalas Rolph is affiliated with Abbott Northwestern Hospital.

When was this NPI record last updated?

The NPPES record for Nichalas Rolph was last updated on April 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.