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Active NPI 1821089376 Individual Practitioner Female Practitioner

Kelly A Roetman , APN

Nurse Practitioner • Carson City, NV

Professional Overview & Biography Verified Profile Summary

Kelly Roetman, APN is a registered healthcare professional specializing in Nurse Practitioner in Carson City, NV. Practice services are available at 973 MICA DR STE 201 under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, x-ray of shoulder, minimum of 2 views, x-ray of hip, 2-3 views. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

973 Mica Dr Ste 201

Carson City, NV 89705

Telephone 7757836190
Fax 7757836191
Associated Practice Facility / Clinic
🏢 Peter N Costa, Md Facility NPI 1578086013

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Carson City, NV

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.4 Yrs
State Avg: 10.0 Yrs
Regional Practice Density
34 Specialists

Practicing in Carson City, NV (919 Statewide)

Telehealth Adoption Rate
17.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
64.7% 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 (2020)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
14 14 $354.00 $125.09

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License NV APN000605

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Registered Nurse

NUCC Taxonomy Code: 163W00000X

State License CA 513594

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Registered Nurse

NUCC Taxonomy Code: 163W00000X

State License NV 26083

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1821089376 (NV)
Commercial Insurance / Payer ID Bcbs
CC9627 (NV)

Secondary Practice Locations

555 N Arlington Ave

Reno, NV 895034723

Phone: 7757863040

Practice Associates & Co-Workers

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

27 Associated Practitioners
Jeromy Dyer

Physician Assistant

NPI 1003927633
Ashten Howard

Physician Assistant

NPI 1083145809
Dr. Taylor Blattenberger , DPT

Physical Therapist - Orthopedic

NPI 1144701954

Doctor of Physical Therapy

Dr. Joseph Walls , MD

Orthopaedic Surgery

NPI 1154323277

Doctor of Medicine (M.D.)

Jessica Yurtinus , MSPT

Physical Therapist

NPI 1174504112

Master of Science in Physical Therapy

Dr. Marco Mendoza , MD

Orthopaedic Surgery

NPI 1255627964

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location May 25, 2018

Registered at 973 MICA DR STE 201, CARSON CITY, NV 89705 (Tel: 7757836190)

📍
Updated Business Mailing Address May 25, 2018

Registered at 973 MICA DR STE 201, CARSON CITY, NV 897057258 (Tel: 7757836190)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 25, 2018

Registered Nurse (License #513594 in CA)

NPI Profile Active April 08, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location April 08, 2013

Registered at 555 N ARLINGTON AVE, RENO, NV 895034723 (Tel: 7757863040)

📍
Updated Business Mailing Address April 08, 2013

Registered at 555 N ARLINGTON AVE, RENO, NV 895034723 (Tel: 7757863040)

👤
Provider Name / Credentials Updated April 08, 2013

Recorded as KELLY ROETMAN, APN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 08, 2013

Registered Nurse (License #26083 in NV)

🟢
Initial NPI Registration & Enumeration November 03, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1821089376
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 03, 2005
Last Update: May 25, 2018
Sole Proprietor: No

Mailing Address

973 Mica Dr Ste 201

Carson City, NV 897057258

Phone: 7757836190

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.