Grant Roethel
NPI 1174408306 · Nurse Practitioner · Sheboygan, WI
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
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)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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.
Practice location
Mailing address
Registry dates
- 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.