DR. NATHAN ROESNER (D.O.) – Surgery Physician, NPI 1598886483

DR. NATHAN ROESNER (D.O.) is a healthcare provider. based in Lakewood, Colorado. specializing in PLASTIC AND RECONSTRUCTIVE SURGERY. They hold the professional credentials D.O.. They hold a License No. 5101017089 (MI). The NPI Number for DR. NATHAN ROESNER (D.O.) is 1598886483

Main info

Male
Sole Proprietor
21 Years Of Experience
Name
DR. NATHAN ROESNER (D.O.)
NPI
1598886483
Phone
(303) 909-6977
Address
11700 W 2ND PL
Enumeration Date
2 April 2007
Last Update Date
20 October 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2005 (21 years ago)
PAC ID
4385891100
Professional Enrollment ID
I20120830000454
Address ID
CO803026745BO2595XBLVD300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

113 PLASTIC AND RECONSTRUCTIVE SURGERY in CO

Provider Addresses for DR. NATHAN ROESNER (D.O.)

  • 11700 W 2ND PL

    MEDICAL PLAZA 2 STE 210

    LAKEWOOD, CO 802281704

    Phone: (303) 909-6977

    Fax: (303) 954-4779

    Type: Location

  • 2595 CANYON BLVD STE 360

    BOULDER, CO 803026745

    Phone: (303) 440-7546

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 28 Open Payments records for all available years, with a total value of $963.

Total Amount is formed as General ($963) + Research ($0) + Ownership ($0) = $963.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: ABBVIE INC. ($252).

Total Amount

$963

General + Research + Ownership

Payments

28

Total payment records

General Amount

$963

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2012-08-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120830000454IPlastic And Reconstructive SurgeryCOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 80228)

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Reviews

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Frequently asked questions

What identifier follows DR. NATHAN ROESNER (D.O.) across health systems?
The NPI 1598886483 uniquely identifies DR. NATHAN ROESNER (D.O.) in U.S. healthcare data.
Should I treat DR. NATHAN ROESNER (D.O.) as an active provider?
Patients and plans typically see DR. NATHAN ROESNER (D.O.) as active in the national extract.
What services align with DR. NATHAN ROESNER (D.O.)'s listing?
DR. NATHAN ROESNER (D.O.)'s public classification highlights Surgery Physician. Clinical services aligned with this taxonomy classification.
What city is tied to DR. NATHAN ROESNER (D.O.)?
The directory associates DR. NATHAN ROESNER (D.O.) with Lakewood, Colorado. Check all listed addresses for suites or satellite offices.
Who maintains DR. NATHAN ROESNER (D.O.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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