MRS. SHOSTY SUE ROTH PA-C
NPI 1740511831
Physician Assistant in Brainerd, MN

Q: What is Shosty Roth's NPI number?

The NPI number for Shosty Roth is 1740511831. It was assigned to this individual provider in the NPPES registry on January 29, 2010. The provider is also known as Shosty Sue Heyblom Pa-C.

Q: What is Shosty Roth's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Shosty Roth was last updated on November 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 January 29, 2010PECOS Enrolled

2215 S 6TH ST, BRAINERD, MN 56401(218) 454-1010 Get Directions Write a Review

NPPES record last updated: November 5, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 5, 2025, May 31, 2023, Mar 9, 2023 and 4 more (7 updates tracked since 2017).

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About Mrs. Shosty Sue Roth Pa-c NPPES

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

MRS. SHOSTY SUE ROTH PA-C (NPI 1740511831) is an individual physician assistant in Brainerd, Minnesota, licensed in Minnesota (10742) and active in the NPI registry since January 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740511831

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMRS. SHOSTY SUE ROTHCredential: PA-C

Location Address2215 S 6TH STBrainerd, MN 56401-5512

Mailing Address2215 S 6th StBrainerd, MN 56401-5512 · (218) 454-1010

Phone(218) 454-1010

Sole ProprietorNo

Enumeration DateJanuary 29, 2010

Last NPPES UpdateNovember 5, 20257 updates tracked since enumeration

NPPES CertifiedNovember 5, 2025

✔ NPI 1740511831 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in MN · 10742

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.

2215 S 6TH ST, Brainerd, MN 56401

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Other Names 1

Former Name (1)Shosty Sue Heyblom Pa-c

Accepted Insurance

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

Mrs. Shosty Sue Roth Pa-c 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 56401 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 5

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

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