Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 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
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1414 N Taylor Dr
Sheboygan, WI 53081-1988
Phone: (920) 476-6300
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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
Mailing address1414 N Taylor Dr, Sheboygan, WI 53081-1988

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

Other providers in Sheboygan