DR. JANE ROYSE ROSKOWSKI PHD, LP, LPC
NPI 1932443009
Psychologist - Clinical in Minnetonka, MN

Q: What is Jane Royse Roskowski's NPI number?

The NPI number for Jane Royse Roskowski is 1932443009. It was assigned to this individual provider in the NPPES registry on November 15, 2012.

Q: What is Jane Royse Roskowski's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Active since November 15, 2012PECOS EnrolledAccepts Medicare Assignment

13100 WAYZATA BLVD STE 200, MINNETONKA, MN 55305(952) 206-2040(952) 206-2041 Get Directions Write a Review

NPPES record last updated: June 5, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 5, 2019, Apr 17, 2019, Jan 22, 2019 (3 updates tracked since 2019).

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About Dr. Jane Royse Roskowski Phd, Lp, Lpc NPPES

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

DR. JANE ROYSE ROSKOWSKI PHD, LP, LPC (NPI 1932443009) is an individual clinical provider in Minnetonka, Minnesota, licensed in Minnesota (LP5637) and active in the NPI registry since November 2012. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1932443009

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. JANE ROYSE ROSKOWSKICredential: PHD, LP, LPC

Location Address13100 WAYZATA BLVD STE 200Minnetonka, MN 55305-1810

Mailing Address5320 Hyland Greens DrBloomington, MN 55437-3934 · (952) 993-2400 · Fax (952) 993-2522

Phone(952) 206-2040

Fax(952) 206-2041

Sole ProprietorNo

Medical School CMSOtherGraduated 2009

Enumeration DateNovember 15, 2012

Last NPPES UpdateJune 5, 20193 updates tracked since enumeration

✔ NPI 1932443009 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

Licenses✔ Licensed in MN · LP5637✔ Licensed in NC · 4279

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License CADC 4441 (PA)

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License PC000514 (PR)

13100 WAYZATA BLVD STE 200, Minnetonka, MN 55305

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Secondary Practice Locations 2

Location 1701 Park AveMinneapolis, MN 55415-1623 · Phone (612) 873-2277

Location 25320 Hyland Greens DrBloomington, MN 55437-3934 · Phone (952) 993-2400 · Fax (952) 993-2522

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 and accepts Medicare assignment

Dr. Jane Royse Roskowski Phd, Lp, Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1153575923

PECOS Enrollment IDI20130201000066

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 Reassignment

Medicare enrollment records show Jane Royse Roskowski reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Nystrom & Associates, Ltd

13 mi

Clinical

1900 SILVER LAKE RD NW, SUITE 110
New Brighton, MN 55112

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

NPI 1396750188 (651) 628-9566

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 55305 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

$168.28 typical visit price

range $56.00 – $168.28

Typical copayment $42.07 (range $14.00 – $42.07)

Most-billed visit code 99205

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.

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