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

Individual provider Physician Assistant · NPI 1760983712

Haley Rogers, PA-C is a Physician Assistant in Roseville, Minnesota. Qualified in 2017, 9 years ago. Practices with Tareen Dermatology PA, a 44-clinician group. Licensed in Illinois and Minnesota.

Years since qualifying
9
Licensed in
IL, MN
In the registry since
2018
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2720 Fairview Ave N Ste 200
Roseville, MN 55113-1306
Phone: (612) 360-1332
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 13742 (MN)
Physician Assistant Taxonomy 363A00000X · Licence 085006477 (IL)

Record details

NPI number1760983712
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 26, 2018
Last updated in NPPESMarch 9, 2022
Certification dateMarch 9, 2022
Mailing address2720 Fairview Ave N Ste 200, Roseville, MN 55113-1306

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Tareen Dermatology Pa — 44 clinicians
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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