What is Grant Roethel's NPI number?

Grant Roethel's National Provider Identifier (NPI) is 1174408306, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Grant Roethel's specialty?

Grant Roethel is listed in the NPPES registry with a primary specialty of Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).

Where is Grant Roethel located?

Grant Roethel's practice location on file with NPPES is 1414 N Taylor Dr, Sheboygan, WI 53081-1988.

What is Grant Roethel's phone number?

The practice phone number listed in the NPPES registry for Grant Roethel is (920) 476-6300.

Does Grant Roethel accept Medicare?

Grant Roethel is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.

Is Grant Roethel's NPI active?

Yes — Grant Roethel's NPI (1174408306) is active in the NPPES registry as of the last update on 2025-09-19.

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Grant Roethel

NPI 1174408306 · Nurse Practitioner · Sheboygan, WI

Grant Roethel is a Nurse Practitioner provider in Sheboygan, WI (NPI 1174408306).

Provider details

NPI number: 1174408306
Entity type: Individual
Primary specialty: Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Sex: Male
Sole proprietor: No
License: 17248-33 (WI)

Practice location

1414 N Taylor Dr

Sheboygan, WI 53081-1988

Phone: (920) 476-6300

Street-level locationGet directions

More WI providers

Mailing address

1414 N Taylor Dr

Sheboygan, WI 53081-1988

Specialties & taxonomies

Nurse PractitionerPrimary363L00000XLicense 17248-33 (WI)
Physician Assistants & Advanced Practice Nursing Providers

Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)

Profile Score

Established profile(55/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
1 yr in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Enumerated: 2025-08-07
Last updated: 2025-09-19
Certified: 2025-09-19

Frequently asked questions

What is Grant Roethel's NPI number?: Grant Roethel's National Provider Identifier (NPI) is 1174408306, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
What is Grant Roethel's specialty?: Grant Roethel is listed in the NPPES registry with a primary specialty of Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
Where is Grant Roethel located?: Grant Roethel's practice location on file with NPPES is 1414 N Taylor Dr, Sheboygan, WI 53081-1988.
What is Grant Roethel's phone number?: The practice phone number listed in the NPPES registry for Grant Roethel is (920) 476-6300.
Does Grant Roethel accept Medicare?: Grant Roethel is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
Is Grant Roethel's NPI active?: Yes — Grant Roethel's NPI (1174408306) is active in the NPPES registry as of the last update on 2025-09-19.

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Provider details

Practice location

Mailing address

Specialties & taxonomies

Profile Score

Registry dates

Frequently asked questions

Specialties & taxonomies

Profile Score

Frequently asked questions