DR. JESSIE LEE KERNS ROSKE (MD) – Hospitalist Physician, NPI 1124258686

DR. JESSIE LEE KERNS ROSKE (MD) is a healthcare provider. based in St cloud, Minnesota. specializing in INTERNAL MEDICINE, HOSPITALIST. They hold the professional credentials MD. They hold a License No. 53744 (MN). The NPI Number for DR. JESSIE LEE KERNS ROSKE (MD) is 1124258686

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
DR. JESSIE LEE KERNS ROSKE (MD)
NPI
1124258686
Phone
(320) 251-2700
Address
1200 SIXTH AVE N
Enumeration Date
19 July 2009
Last Update Date
30 October 2015

Doctor Profile

Medical School Name
UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Secondary Phone
3202433767
Graduation Year
2009 (17 years ago)
PAC ID
5092983981
Group Practice PAC ID
1153555719
Professional Enrollment ID
I20110720000304
Address ID
MN563621445PA200XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:16State licenses:1Digital endpointsOther names

3,636 INTERNAL MEDICINE in MN

Provider Addresses for DR. JESSIE LEE KERNS ROSKE (MD)

  • 1200 SIXTH AVE N

    CENTRACARE CLINIC

    ST CLOUD, MN 563032735

    Phone: (320) 251-2700

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2011-07-20

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
I20110720000304IInternal MedicineMNTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes6131$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes5025$0
99239Hospital discharge day management, more than 30 minutes2727$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes1515$0
View full utilization report →

Insurance plans in this area (ZIP 56303)

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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: 1153555719View full group profile
NameSpecialtyState
Internal Medicine, HospitalistMN
Family PracticeMN
Nurse PractitionerMN
Family PracticeMN
Cardiovascular Disease (Cardiology), Internal MedicineMN
Family PracticeMN
Internal Medicine, HospitalistMN
Pediatric Medicine, GastroenterologyMO
Family PracticeMN
-MN

Reviews

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Frequently asked questions

How do I look up DR. JESSIE LEE KERNS ROSKE (MD) by NPI?
Use NPI 1124258686 when you need to reference DR. JESSIE LEE KERNS ROSKE (MD) in forms, claims, or directories.
Does this profile mean DR. JESSIE LEE KERNS ROSKE (MD) is currently active?
Yes — DR. JESSIE LEE KERNS ROSKE (MD) appears active in the national provider directory.
Can you summarize DR. JESSIE LEE KERNS ROSKE (MD)'s specialty in plain language?
Clinically, the directory lists DR. JESSIE LEE KERNS ROSKE (MD) with Hospitalist Physician. Clinical services aligned with this taxonomy classification.
Where is DR. JESSIE LEE KERNS ROSKE (MD)'s primary listing?
We display St Cloud, Minnesota because that is what the record indicates for DR. JESSIE LEE KERNS ROSKE (MD).
Is DR. JESSIE LEE KERNS ROSKE (MD) a real provider?
This page reflects official NPPES data for NPI 1124258686. Always confirm identity and privileges with the practice and licensing boards.

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