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

Individual provider Physician Assistant · NPI 1053411157

Rosalynn Vertiz-Hackett, PA is a Physician Assistant in White Bear Lake, Minnesota. Qualified in 2004, 22 years ago. Practices with Group Health Plan Inc, a 1,633-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota and Texas.

Years since qualifying
22
Licensed in
MN, TX
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1430 Highway 96 E
White Bear Lake, MN 55110-3653
Phone: (651) 653-2100
Fax: (651) 653-2125
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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 11431 (MN)
Physician Assistant Taxonomy 363A00000X · Licence PA04432 (TX)

Record details

NPI number1053411157
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 25, 2006
Last updated in NPPESJanuary 11, 2016

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Group Health Plan Inc — 1633 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations6 on file with Medicare

Other providers in White Bear Lake