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

Jacob Roth

Individual provider Certified Registered Nurse Anesthetist · NPI 1730036807

Jacob Roth is a Certified Registered Nurse Anesthetist (CRNA) in Minneapolis, Minnesota. Practices with Hennepin Healthcare System Inc, a 903-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Licensed in
MN
In the registry since
2026
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Practice location Address checks out

701 Park Ave
Minneapolis, MN 55415-1829
Phone: (612) 873-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 3316 (MN)

Record details

NPI number1730036807
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 16, 2026
Last updated in NPPESMarch 30, 2026
Certification dateMarch 30, 2026

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2026 (0 years in practice)
Group practice Hennepin Healthcare System Inc — 903 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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