Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Nicole Lynn Roeder, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1568737716

Dr. Nicole Lynn Roeder, MD is a Pulmonary Disease in Waconia, Minnesota. Qualified in 2012, 14 years ago. Practices with Healtheast Medical Research Institute, a 678-clinician group, works from 4 locations, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
14
Licensed in
MN
In the registry since
2012
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Waconia, MN

Additional practice locations (3)

  • 20 York St, New Haven, CT 06510-3220 — (203) 688-5555
  • 20 York St, New Haven, CT 06510-3220 — (203) 688-5555
  • 1575 Beam Ave, Maplewood, MN 55109 — (651) 232-7000

Specialties & licences

Pulmonary Disease Physician (primary) Taxonomy 207RP1001X · Licence 63495 (MN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1568737716
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 20, 2012
Last updated in NPPESNovember 26, 2022
Certification dateNovember 26, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPULMONARY DISEASE
Also practisesCRITICAL CARE (INTENSIVISTS), SLEEP MEDICINE
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Healtheast Medical Research Institute — 678 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

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