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Active NPI 1174408306 Individual Practitioner Male Practitioner

Grant Michael Roethel

Nurse Practitioner • Sheboygan, WI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Grant Roethel is a certified Nurse Practitioner practicing in Sheboygan, WI. With approximately 1 years of clinical experience since completing medical education in 2025, Grant Roethel delivers high-quality medical care to the local community at 1414 N TAYLOR DR.

Grant Roethel is affiliated with Froedtert Manitowoc Medical Group, Llc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

1414 N Taylor Dr

Sheboygan, WI 530811988

Telephone 9204766300
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2025

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Sheboygan, WI

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
1 Yrs -9.0 yrs vs City Avg
City Avg: 10.0 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
63 Specialists

Practicing in Sheboygan, WI (4030 Statewide)

Telehealth Adoption Rate
7.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Roethel (1 Years) 1 Yrs
Sheboygan Specialty Average (10.0 Years) 10.0 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-09-19
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License WI 17248-33

(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.

Hospital & Practice Group Affiliations

Froedtert Manitowoc Medical Group, Llc

1414 N Taylor Dr, Sheboygan, WI 530811988

Phone: 9203202436

Practice Associates & Co-Workers

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

9 Associated Practitioners
Kenneth Siebels , OTR, L

Occupational Therapist

NPI 1043844962

Occupational Therapist Registered, L

Dr. Emily Jacobson , DPT

Physical Therapist

NPI 1104284025

Doctor of Physical Therapy

NPI 1336105501

Doctor of Medicine (M.D.)

Dr. Najmus Liang , MD

Family Medicine

NPI 1417338369

Doctor of Medicine (M.D.)

Carmen Ruiz , APNP

Nurse Practitioner - Family

NPI 1477608529

Advanced Practice Nurse Prescriber

Dr. Mai Her , DNP

Nurse Practitioner - Family

NPI 1538902937

Doctor of Nursing Practice

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Business Mailing Address September 19, 2025

Registered at 1414 N TAYLOR DR, SHEBOYGAN, WI 530811988 (Tel: 9209461743)

NPI Profile Active August 07, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location August 07, 2025

Registered at 1414 N TAYLOR DR, SHEBOYGAN, WI 530811988 (Tel: 9204766300)

📍
Updated Business Mailing Address August 07, 2025

Registered at W4307 CHURCH RD, WALDO, WI 530931729 (Tel: 9209461743)

👤
Provider Name / Credentials Updated August 07, 2025

Recorded as GRANT ROETHEL

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 07, 2025

Nurse Practitioner (License #17248-33 in WI)

🟢
Initial NPI Registration & Enumeration August 07, 2025

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: 1174408306
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 07, 2025
Last Update: September 19, 2025
Sole Proprietor: No

Mailing Address

1414 N Taylor Dr

Sheboygan, WI 530811988

Phone: 9209461743

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.