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

Nichalas Rolph

Individual provider Physician Assistant · NPI 1558109090

Nichalas Rolph is a Physician Assistant in Minneapolis, Minnesota. Qualified in 2025, 1 year ago. Practices with Minnesota Urology, PA, a 82-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
1
Licensed in
MN
In the registry since
2024
Specialties on file
2
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Practice location Address checks out

800 E 28th St
Minneapolis, MN 55407-3723
Phone: (612) 262-8425
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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 15666 (MN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1558109090
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 18, 2024
Last updated in NPPESApril 23, 2026
Certification dateApril 23, 2026
Mailing address2925 Chicago Ave, Minneapolis, MN 55407-1321

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Minnesota Urology, Pa — 82 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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