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JASON MICHAEL PROSTROLLO D.O.
NPI 1558659615
Pediatrics in Roseville, MN

Active since July 11, 2011PECOS Enrolled
1835 COUNTY ROAD C W, ROSEVILLE, MN 55113(763) 785-4300(763) 785-7779 Get Directions Write a Review

NPPES record last updated: September 30, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jason Michael Prostrollo D.o. NPPES

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

JASON MICHAEL PROSTROLLO D.O. (NPI 1558659615) is an individual pediatrics provider in Roseville, Minnesota, licensed in Minnesota (57872) and active in the NPI registry since July 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1558659615
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameJASON MICHAEL PROSTROLLOCredential: D.O.
Location Address1835 COUNTY ROAD C WRoseville, MN 55113-1352
Mailing Address1835 County Road C WRoseville, MN 55113-1352 · (763) 785-4300 · Fax (763) 785-7779
Phone(763) 785-4300
Fax(763) 785-7779
Sole ProprietorYes
Enumeration DateJuly 11, 2011
Last NPPES UpdateSeptember 30, 2014
✔ NPI 1558659615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MN · 57872
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1835 COUNTY ROAD C W, Roseville, MN 55113
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jason Michael Prostrollo D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55113 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
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
Most-billed visit code 99214
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 17

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

DR. KIRK ROLAND BAUMGARDNER DDS, PHD
Dentist (Endodontics)
1835 COUNTY ROAD C W
ROSEVILLE, MN 55113
Ramsey County (651) 746-0587
DR. ANN PARKS NAPP AU.D.
Audiologist-Hearing Aid Fitter
1835 COUNTY ROAD C W, SUITE 80
ROSEVILLE, MN 55113
Ramsey County (651) 638-9981
KATHERINE HAILEY LAKE OTR/L
Occupational Therapist
1835 COUNTY ROAD C W
ROSEVILLE, MN 55113
Ramsey County (651) 638-0080
MR. FREDERICK CARL HJELM P.T.
Physical Therapist
1835 COUNTY ROAD C W
ROSEVILLE, MN 55113
Ramsey County (651) 638-0080
DR. PAMELA JEAN HOLM DDS
Dentist (General Practice)
1835 COUNTY ROAD C W, #220
ROSEVILLE, MN 55113
Ramsey County (651) 636-2123
PDG, PA
Clinic/Center (Dental)
1835 COUNTY ROAD C W, SUITE 200
ROSEVILLE, MN 55113
Ramsey County (651) 209-7088
LAUREN SUNDICK RPA-C
Physician Assistant
1835 COUNTY ROAD C W, SUITE 250
ROSEVILLE, MN 55113
Ramsey County (651) 633-6883
DAVID T CHANG MD
Neurological Surgery
1835 COUNTY ROAD C W, SUITE 150
ROSEVILLE, MN 55113
Ramsey County (651) 430-3800

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 Jason Prostrollo's NPI number?

The NPI number for Jason Prostrollo is 1558659615. It was assigned to this individual provider in the NPPES registry on July 11, 2011.

Where is Jason Prostrollo located?

Jason Prostrollo practices at 1835 County Road C W, Roseville, MN 55113. The listed phone number is (763) 785-4300.

What is Jason Prostrollo's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Jason Prostrollo enrolled in Medicare?

Yes. Jason Prostrollo is registered in the Medicare PECOS enrollment system.

What insurance does Jason Prostrollo accept?

Health plans from Medica list Jason Prostrollo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jason Prostrollo was last updated on September 30, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.