CHARLES ROESEL – Certified Registered Nurse Anesthetist, NPI 1306208707

CHARLES ROESEL is a healthcare provider. based in Lincoln city, Oregon. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold a License No. 200841321RN (OR). The NPI Number for CHARLES ROESEL is 1306208707

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
CHARLES ROESEL
NPI
1306208707
Phone
(541) 996-7152
Address
3043 NE 28TH STREET
Enumeration Date
24 March 2016
Last Update Date
30 April 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5033254321
Graduation Year
2016 (10 years ago)
PAC ID
4183918998
Group Practice PAC ID
5294643359
Professional Enrollment ID
I20160802001200
Address ID
OR971033329AS2111XSTXX300

Contacts

Secure Messaging
croesel128462@samhealth.direct-ci.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness85
Years active:10State licenses:2Other namesUpdated within 12 months

512 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in OR

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Provider Addresses for CHARLES ROESEL

  • Samaritan North Lincoln Hospital, 3043, Northeast 28th Street, Wecoma Beach, Lincoln City, Lincoln County, Oregon, 97367, United States

    LINCOLN CITY, OR 973674518

    Phone: (541) 996-7152

    Fax: (541) 996-7180

    Type: Location

  • PO BOX 1194

    CORVALLIS, OR 973391194

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $13.

Total Amount is formed as General ($13) + Research ($0) + Ownership ($0) = $13.

Last reported payment date: 2023-09-14 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($13).

Total Amount

$13

General + Research + Ownership

Payments

1

Total payment records

General Amount

$13

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-09-14

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Merck Sharp & Dohme LLC$13
View all Open Payments →|Open Payments Risk Radar →

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: 2016-08-02

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
I20160802001200ICertified Registered Nurse Anesthetist (Crna)ORTBD

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 97367)

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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: 5294643359View full group profile
NameSpecialtyState
Nurse PractitionerAZ
Orthopedic SurgeryIA
Pulmonary DiseaseOR
-OR
Nurse PractitionerOR
Certified Registered Nurse Anesthetist (Crna)MO
Emergency MedicineWA
O B S T E T R I C S/ G Y N E C O L O G YWA
Diagnostic RadiologyME
-CO

Reviews

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Frequently asked questions

What is CHARLES ROESEL's NPI number?
CHARLES ROESEL's NPI is 1306208707 — the number used across U.S. healthcare to identify this provider.
Is CHARLES ROESEL still an active registrant?
CHARLES ROESEL carries an active NPI according to the public dataset.
What kind of doctor is CHARLES ROESEL?
CHARLES ROESEL is associated with Certified Registered Nurse Anesthetist in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for CHARLES ROESEL?
Travel planning: use Lincoln City, Oregon as the reference point for CHARLES ROESEL, then confirm.
What does 3 location(s) imply?
3 practice locations appear in the available data.

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