STACI RANAE ROSLANSKY (APRN,CNP) – Nurse Practitioner, NPI 1023172707

STACI RANAE ROSLANSKY (APRN,CNP) is a healthcare provider. based in Willmar, Minnesota. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN,CNP. They hold a License No. 6388 (MN). The NPI Number for STACI RANAE ROSLANSKY (APRN,CNP) is 1023172707

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
STACI RANAE ROSLANSKY (APRN,CNP)
NPI
1023172707
Phone
(320) 231-5000
Address
101 WILLMAR AVE SW
Enumeration Date
20 December 2006
Last Update Date
1 December 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2185467000
Graduation Year
2018 (8 years ago)
PAC ID
1153660188
Group Practice PAC ID
9537146550
Professional Enrollment ID
I20190308000622
Address ID
MN564411645CR320XXSTXX400

Contacts

Secure Messaging
sroslansky412224@excellian.direct.allina.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

5,720 NURSE PRACTITIONER in MN

Provider Addresses for STACI RANAE ROSLANSKY (APRN,CNP)

  • 101, Willmar Avenue Southwest, Willmar, Kandiyohi County, Minnesota, 56201, United States

    ACMC

    WILLMAR, MN 56201

    Phone: (320) 231-5000

    Fax: (320) 231-5067

    Type: Mailing

  • 101 Willmar Ave SW

    Affiliated Community Medical Centers

    Willmar, MN 56201

    Phone: (320) 231-5000

    Fax: (320) 231-5067

    Type: Location

  • Cuyuna Regional Medical Center, 320, East Main Street, Towns Edge Mobile Home Park, Crosby, Minnesota, 56441, United States

    CROSBY, MN 564411645

    Phone: (218) 546-7000

    Fax: (218) 546-4400

    Type: Location

  • 320 E MAIN ST

    CROSBY, MN 564411645

    Phone: (218) 546-7000

    Fax: (218) 546-4400

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $25.

Total Amount is formed as General ($25) + Research ($0) + Ownership ($0) = $25.

Last reported payment date: 2024-04-23 • Largest payer in this snapshot: Abbott Laboratories ($25).

Total Amount

$25

General + Research + Ownership

Payments

1

Total payment records

General Amount

$25

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-23

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Abbott Laboratories$25
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: 2019-03-08

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
I20190308000622INurse PractitionerMNTBD

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 56201)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9537146550View full group profile
NameSpecialtyState
Physician AssistantMN
Nurse PractitionerMN
-MN
Family PracticeMN
Certified Registered Nurse Anesthetist (Crna)IN
H O S P I T A L I S TMN
Nurse PractitionerMN
Internal Medicine, Hospitalist, Internal MedicineFL
Family PracticeMN
P O D I A T R YFL

Reviews

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Frequently asked questions

How do payers reference STACI RANAE ROSLANSKY (APRN,CNP)?
For STACI RANAE ROSLANSKY (APRN,CNP), use NPI 1023172707 as the unique 10-digit identifier.
Is there an active status for STACI RANAE ROSLANSKY (APRN,CNP)?
For scheduling context, STACI RANAE ROSLANSKY (APRN,CNP) is shown as active in the registry.
What clinical focus is listed for STACI RANAE ROSLANSKY (APRN,CNP)?
At a glance, STACI RANAE ROSLANSKY (APRN,CNP) is tied to Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Minnesota is STACI RANAE ROSLANSKY (APRN,CNP) registered?
Use Willmar, Minnesota as the headline location for STACI RANAE ROSLANSKY (APRN,CNP) here.
Does STACI RANAE ROSLANSKY (APRN,CNP) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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