Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Grant Michael Roethel

Individual provider Nurse Practitioner · NPI 1174408306

Grant Michael Roethel is a Nurse Practitioner in Sheboygan, Wisconsin. Qualified in 2025, 1 year ago. Practices with Froedtert Manitowoc Medical Group, LLC, a 157-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
1
Licensed in
WI
In the registry since
2025
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Practice location Address checks out

1414 N Taylor Dr
Sheboygan, WI 53081-1988
Phone: (920) 476-6300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 17248-33 (WI)

Record details

NPI number1174408306
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 7, 2025
Last updated in NPPESSeptember 19, 2025
Certification dateSeptember 19, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Froedtert Manitowoc Medical Group, Llc — 157 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

  • Holy Family Memorial Hospital · Manitowoc, WI

Colleagues at Froedtert Manitowoc Medical Group, LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 157 clinicians in the practice; 12 are shown here.

Other providers in Sheboygan