KRISTA LYNNE ROELLER (CRNA) – Certified Registered Nurse Anesthetist, NPI 1992773634

KRISTA LYNNE ROELLER (CRNA) is a healthcare provider. based in Maple grove, Minnesota. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. R126984-0 (MN). The NPI Number for KRISTA LYNNE ROELLER (CRNA) is 1992773634

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
KRISTA LYNNE ROELLER (CRNA)
NPI
1992773634
Phone
(763) 201-8191
Address
9645 Grove Cir N Ste 250
Enumeration Date
9 March 2006
Last Update Date
13 June 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7635593779
Graduation Year
2006 (20 years ago)
PAC ID
8426064692
Group Practice PAC ID
5698689123
Professional Enrollment ID
I20060224000345
Address ID
MN553871752WA500XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,131 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in MN

Provider Addresses for KRISTA LYNNE ROELLER (CRNA)

  • 9645 Grove Cir N Ste 250

    Maple Grove, MN 553694466

    Phone: (763) 201-8191

    Fax: (763) 201-8192

    Type: Location

  • Bambini's Coffee, 2450, Riverside Avenue, Phillips, Minneapolis, Hennepin County, Minnesota, 55454, United States

    MINNEAPOLIS, MN 554541450

    Phone:

    Type: Mailing

  • Mayo Memorial Building, 420, Southeast Delaware Street, Minneapolis, Hennepin County, Minnesota, 55455, United States

    MINNEAPOLIS, MN 55455

    Phone: (612) 626-3000

    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: 2006-02-24

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
I20060224000345ICertified Registered Nurse Anesthetist (Crna)MNTBD

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 55369)

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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: 5698689123View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)MN
Certified Registered Nurse Anesthetist (Crna)MN
Certified Registered Nurse Anesthetist (Crna)MN
Certified Registered Nurse Anesthetist (Crna)MN
-MN
-MN
-MN
-MN
A N E S T H E S I O L O G YMN
A N E S T H E S I O L O G YMN

Reviews

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Frequently asked questions

What is KRISTA LYNNE ROELLER (CRNA)'s NPI number?
KRISTA LYNNE ROELLER (CRNA)'s NPI is 1992773634 — the number used across U.S. healthcare to identify this provider.
Is KRISTA LYNNE ROELLER (CRNA) shown as active in public data?
Registry records indicate KRISTA LYNNE ROELLER (CRNA) maintains an active NPI.
How would a patient describe KRISTA LYNNE ROELLER (CRNA)'s focus?
For KRISTA LYNNE ROELLER (CRNA), the primary taxonomy reads as Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for KRISTA LYNNE ROELLER (CRNA)?
Travel planning: use Maple Grove, Minnesota as the reference point for KRISTA LYNNE ROELLER (CRNA), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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