DR. KELLY ROSCHEN DO
NPI 1710540505
Pediatrics in Monticello, MN

Q: What is Kelly Roschen's NPI number?

The NPI number for Kelly Roschen is 1710540505. It was assigned to this individual provider in the NPPES registry on April 17, 2019.

Q: What is Kelly Roschen's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kelly Roschen was last updated on January 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.

Active since April 17, 2019PECOS Enrolled

1001 HART BLVD STE 100, MONTICELLO, MN 55362(763) 682-1313(763) 581-9090 Get Directions Write a Review

NPPES record last updated: January 29, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 4, 2024, Dec 1, 2022, Jan 5, 2021 and 1 more (4 updates tracked since 2019).

On this page

About Dr. Kelly Roschen Do NPPES

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

DR. KELLY ROSCHEN DO (NPI 1710540505) is an individual pediatrics provider in Monticello, Minnesota, licensed in Minnesota (78062) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1710540505

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameDR. KELLY ROSCHENCredential: DO

Location Address1001 HART BLVD STE 100Monticello, MN 55362-8929

Mailing Address2605 Blue Ridge Road, Suite 100Raleigh, NC 27607-6475 · (919) 881-9009 · Fax (919) 881-8463

Phone(763) 682-1313

Fax(763) 581-9090

Sole ProprietorNo

Enumeration DateApril 17, 2019

Last NPPES UpdateJanuary 29, 20254 updates tracked since enumeration

NPPES CertifiedJanuary 29, 2025

✔ NPI 1710540505 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in MN · 78062

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1001 HART BLVD STE 100, Monticello, MN 55362

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Secondary Practice Locations 2

Location 12605 Blue Ridge Road, Suite 100Raleigh, NC 27607-6475 · Phone (919) 881-9009 · Fax (919) 881-8463

Location 21700 Highway 25 NBuffalo, MN 55313-1930 · Phone (763) 682-1313 · Fax (763) 581-9090

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kelly Roschen Do 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.

Medicare Billing Reassignments

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

Stellis Health, PA

Same address

Multi-Specialty

1001 HART BLVD STE 100
Monticello, MN 55362

Reassigned Medicare billing, Minnesota enrollment
40 clinicians in this Medicare group

NPI 1013103050 (763) 295-2921

Centracare Health System-Nr LLC

0.1 mi

Critical Access

1013 HART BLVD
Monticello, MN 55362

Reassigned Medicare billing, Minnesota enrollment
285 clinicians in this Medicare group

NPI 1275872772 (763) 295-2945

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 55362 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 20

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

DR. REBEKAH MORGAN FIERS MD

Family Medicine (Sports Medicine)