DR. JACQUELINE AMBER LOUDERMAN-ROLL DO
NPI 1780470161
Student in an Organized Health Care Education/Training Program in Duluth, MN

Q: What is Jacqueline Louderman-roll's NPI number?

The NPI number for Jacqueline Louderman-roll is 1780470161. It was assigned to this individual provider in the NPPES registry on April 15, 2025.

Q: What is Jacqueline Louderman-roll's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since April 15, 2025PECOS Enrolled

330 N 8TH AVE E, DULUTH, MN 55805(218) 723-1112 Get Directions Write a Review

NPPES record last updated: April 18, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Jacqueline Amber Louderman-roll Do NPPES

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

DR. JACQUELINE AMBER LOUDERMAN-ROLL DO (NPI 1780470161) is an individual student in an organized health care education/training program in Duluth, Minnesota and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780470161

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameDR. JACQUELINE AMBER LOUDERMAN-ROLLCredential: DO

Location Address330 N 8TH AVE EDuluth, MN 55805-2024

Mailing Address330 N 8th Ave EDuluth, MN 55805-2024 · (218) 529-9122

Phone(218) 723-1112

Sole ProprietorNo

Enumeration DateApril 15, 2025

Last NPPES UpdateApril 18, 2025

NPPES CertifiedApril 18, 2025

✔ NPI 1780470161 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

330 N 8TH AVE E, Duluth, MN 55805

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 (PECOS)

Dr. Jacqueline Amber Louderman-roll 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.

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. KYLIE ELIZABETH KRAFT MD

Family Medicine