STACEY CELESTE ROLAK MD
NPI 1871168690
Internal Medicine - Gastroenterology in Scottsdale, AZ

Q: What is Stacey Rolak's NPI number?

The NPI number for Stacey Rolak is 1871168690. It was assigned to this individual provider in the NPPES registry on May 24, 2021.

Q: What is Stacey Rolak's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Stacey Rolak was last updated on May 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 May 24, 2021PECOS Enrolled

13400 E SHEA BLVD, SCOTTSDALE, AZ 85259(480) 301-8000 Get Directions Write a Review

NPPES record last updated: May 27, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 27, 2026, Aug 11, 2022, Jun 18, 2021 and 1 more (4 updates tracked since 2021).

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About Stacey Celeste Rolak Md NPPES

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

STACEY CELESTE ROLAK MD (NPI 1871168690) is an individual gastroenterology provider in Scottsdale, Arizona, licensed in Arizona (72808) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Rochester, and is a graduate of University Of Wisconsin School Of Medicine (2021).

NPPES Registry Identity

NPI1871168690

Entity TypeIndividualFemale

Primary Taxonomy207RG0100X

Provider Legal NameSTACEY CELESTE ROLAKCredential: MD

Location Address13400 E SHEA BLVDScottsdale, AZ 85259-5499

Mailing AddressPo Box 860912Minneapolis, MN 55486-0912

Phone(480) 301-8000

Sole ProprietorNo

Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 2021

Enumeration DateMay 24, 2021

Last NPPES UpdateMay 27, 20264 updates tracked since enumeration

NPPES CertifiedMay 27, 2026

✔ NPI 1871168690 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in AZ · 72808

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

Also ListedInternal MedicineTaxonomy 207R00000X · License 72030 (MN)

13400 E SHEA BLVD, Scottsdale, AZ 85259

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Secondary Practice Location 1

Location 1200 1st St SWRochester, MN 55905-0001 · Phone (507) 284-2511

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stacey Celeste Rolak Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4385045418

PECOS Enrollment IDI20260612001570

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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85259 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

$127.71 typical visit price

range $55.44 – $168.60

Typical copayment $31.92 (range $13.86 – $42.15)

Most-billed visit code 99204

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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.

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