ROXANNE THRELFALL – Social Worker, NPI 1356032650

ROXANNE THRELFALL is a healthcare provider. based in Rogers, Minnesota. specializing in CLINICAL SOCIAL WORKER. The NPI Number for ROXANNE THRELFALL is 1356032650

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
ROXANNE THRELFALL
NPI
1356032650
Phone
Not provided
Address
14000 NORTHDALE BLVD UNIT 1
Enumeration Date
17 May 2023
Last Update Date
17 May 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7635758086
Graduation Year
2020 (6 years ago)
PAC ID
2769829589
Group Practice PAC ID
6608192083
Professional Enrollment ID
I20240328000512
Address ID
MN553744663RO14000BLVD301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience21
Completeness75
Years active:3State licenses:0Digital endpointsOther names

2,310 CLINICAL SOCIAL WORKER in MN

Provider Addresses for ROXANNE THRELFALL

  • 14000 NORTHDALE BLVD UNIT 1

    ROGERS, MN 553744662

    Phone:

    Type: Mailing

  • 3550 KNOX AVE N

    MINNEAPOLIS, MN 554122452

    Phone: (952) 303-1859

    Type: Location

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: 2024-03-28

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
I20240328000512IClinical Social WorkerMNTBD

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 55374)

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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: 6608192083View full group profile
NameSpecialtyState
Marriage And Family TherapistMN
Mental Health CounselorND
Clinical Social WorkerMN
Mental Health CounselorMN
Marriage And Family TherapistMN
Clinical Social WorkerMN
Clinical Social WorkerMN
Marriage And Family TherapistMN
Mental Health CounselorMN
Mental Health CounselorMN

Reviews

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Frequently asked questions

What federal number belongs to ROXANNE THRELFALL?
The federal identifier for ROXANNE THRELFALL is NPI 1356032650.
Does this profile mean ROXANNE THRELFALL is currently active?
Yes — ROXANNE THRELFALL appears active in the national provider directory.
What does ROXANNE THRELFALL treat or focus on?
Patients typically see ROXANNE THRELFALL under the specialty Social Worker. Clinical services aligned with this taxonomy classification.
Where does public data place ROXANNE THRELFALL?
The snapshot lists Rogers, Minnesota for ROXANNE THRELFALL; download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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