SONJA M. ROACH (N.P.) – Family Nurse Practitioner, NPI 1396770772
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 SONJA M. ROACH (N.P.)
County Highway 61, Moose Lake, Carlton County, Minnesota, 55767, United States
MOOSE LAKE, MN 55767
Phone: (218) 485-4491
Fax: (218) 485-4724
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)
CMS reports 18 Open Payments records for all available years, with a total value of $287.
Total Amount is formed as General ($287) + Research ($0) + Ownership ($0) = $287.
Last reported payment date: 2024-10-12 • Largest payer in this snapshot: Tempus AI, Inc ($24).
Total Amount
$287
General + Research + Ownership
Payments
18
Total payment records
General Amount
$287
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Tempus AI, Inc | $24 |
| Novavax Inc | $20 |
| Astellas Pharma US Inc | $20 |
| Horizon Therapeutics plc | $17 |
| AstraZeneca Pharmaceuticals LP | $16 |
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: 2006-01-12
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20060112000192 | I | Nurse Practitioner | MN | 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 | 163 | 113 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 123 | 84 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 83 | 70 | $0 |
| 80048 | Blood test, basic group of blood chemicals (calcium, total) | 68 | 57 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 67 | 45 | $0 |
Insurance plans in this area (ZIP 55767)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NURSE PRACTITIONER | MN | 85610 | Blood test, clotting time | 87 | 27 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine, Pediatric Medicine | MN | |
| Family Practice | MN | |
| Family Practice, Emergency Medicine | MN | |
| Family Practice | MN | |
| Family Practice, Emergency Medicine | MN | |
| Family Practice | MN | |
| Family Practice | MN | |
| Family Practice | MN | |
| - | FL | |
| Family Practice | MN |
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