MS. AMY JO ROLFZEN (CNP) – Family Nurse Practitioner, NPI 1336134626
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,720 NURSE PRACTITIONER in MN
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Provider Addresses for MS. AMY JO ROLFZEN (CNP)
900, Nicollet Mall, Loring Park, Minneapolis, Hennepin County, Minnesota, 55403, United States
MINNEAPOLIS, MN 554032530
Phone: (651) 224-2155
Type: Mailing
CVS Pharmacy, 1040, Grand Avenue, Summit Hill, Saint Paul, Ramsey County, Minnesota, 55105, United States
SAINT PAUL, MN 551053001
Phone: (651) 224-2155
Type: Location
1040 GRAND AVE
SAINT PAUL, MN 551053001
Phone: (651) 224-2155
Type: Mailing
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: 2025-11-14
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 5 Medicare enrollment records; no due dates published yet.
Enrollment records
5
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050803000385 | I | Nurse Practitioner | MN | TBD |
| I20250528002124 | I | Nurse Practitioner | CA | TBD |
| I20250829000745 | I | Nurse Practitioner | MO | TBD |
| I20251107002408 | I | Nurse Practitioner | UT | TBD |
| I20251114004010 | I | Nurse Practitioner | NM | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 15 | 14 | $0 |
| G0008 | Administration of influenza virus vaccine | 14 | 14 | $0 |
| 90694 | Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | 13 | 13 | $0 |
Insurance plans in this area (ZIP 55403)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MN | |
| Physician Assistant | MN | |
| Physician Assistant | MN | |
| Physician Assistant | MN | |
| - | MN | |
| Nurse Practitioner | PA | |
| Physician Assistant | MN | |
| - | MN | |
| Nurse Practitioner | MN | |
| - | MN |
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