Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1740511831 Individual Practitioner Female Practitioner

Shosty Sue Roth , PA-C

Physician Assistant • Brainerd, MN

Professional Overview & Biography Verified Profile Summary

Shosty Roth, PA-C is a registered healthcare professional specializing in Physician Assistant in Brainerd, MN. Practice services are available at 2215 S 6TH ST under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, psychotherapy with evaluation and management visit, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2215 S 6th St

Brainerd, MN 564015512

Telephone 2184541010
Associated Practice Facility / Clinic
🏢 Valhalla Place Brainerd Llc Facility NPI 1881972503

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Brainerd, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.6 Yrs
State Avg: 10.9 Yrs
Regional Practice Density
14 Specialists

Practicing in Brainerd, MN (4026 Statewide)

Telehealth Adoption Rate
14.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
70.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
46 23 $241.74 $79.86
90833 Psychotherapy with evaluation and management visit, 30 minutes
27 15 $198.85 $51.03

Medical Specialties & State Licenses

CMS Verified: 2025-11-05
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License MN 10742

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Troy Heagle , LADC

Counselor - Addiction (Substance Use Disorder)

NPI 1427423987

Licensed Alcohol and Drug Counselor

Judy Kriesel , LADC

Counselor - Addiction (Substance Use Disorder)

NPI 1457817330

Licensed Alcohol and Drug Counselor

James Whistler

Hearing Instrument Specialist

NPI 1659518413

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

20 Historical Events
📍
Updated Practice Location November 05, 2025

Registered at 2215 S 6TH ST, BRAINERD, MN 564015512 (Tel: 2184541010)

📍
Updated Business Mailing Address November 05, 2025

Registered at 2215 S 6TH ST, BRAINERD, MN 564015512 (Tel: 2184541010)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 05, 2025

Physician Assistant (License #10742 in MN)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 31, 2023

Psychiatry & Neurology (License #10742 in MN)

📍
Updated Practice Location April 26, 2023

Registered at 332 W SUPERIOR ST, SUITE 300, DULUTH, MN 558021808 (Tel: 2187224379)

📍
Updated Business Mailing Address March 09, 2023

Registered at 4119 GRANT VALLEY RD NW, BEMIDJI, MN 566015370 (Tel: 2184031260)

👤
Provider Name / Credentials Updated August 26, 2021

Recorded as SHOSTY ROTH, PA-C

📍
Updated Practice Location April 24, 2020

Registered at 28 NW 4TH ST STE A, GRAND RAPIDS, MN 557442714 (Tel: 2189997750)

📍
Updated Business Mailing Address April 24, 2020

Registered at 28 NW 4TH ST STE A, GRAND RAPIDS, MN 557442714 (Tel: 2189997750)

NPI Profile Active February 24, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location February 24, 2017

Registered at 332 W SUPERIOR ST, SUITE 300, DULUTH, MN 558021808 (Tel: 2187224379)

📍
Updated Business Mailing Address February 24, 2017

Registered at 1900 SILVER LAKE RD NW, SUITE 110, NEW BRIGHTON, MN 551121786 (Tel: 6516289566)

👤
Provider Name / Credentials Updated February 24, 2017

Recorded as SHOSTY ROTH, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 24, 2017

Physician Assistant (License #10742 in MN)

NPI Profile Active September 02, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location September 02, 2015

Registered at 332 W SUPERIOR ST, SUITE 300, DULUTH, MN 558021808 (Tel: 2187224379)

📍
Updated Business Mailing Address September 02, 2015

Registered at 1900 SILVER LAKE RD NW, SUITE 110, NEW BRIGHTON, MN 551121786 (Tel: 6516289566)

👤
Provider Name / Credentials Updated September 02, 2015

Recorded as SHOSTY ROTH, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 02, 2015

Physician Assistant

🟢
Initial NPI Registration & Enumeration January 29, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Shosty Roth. Be the first to share your experience!

Sign in to leave a review for Shosty Roth

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1740511831
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 29, 2010
Last Update: November 05, 2025
Sole Proprietor: No

Mailing Address

2215 S 6th St

Brainerd, MN 564015512

Phone: 2184541010

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.