Individual Healthcare Provider
Nicole Lynn Roeder, MD
Provider's NPPES record last updated: November 26, 2022
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1568737716
- Primary Specialty
- Internal Medicine — Pulmonary Disease
- Practice Location
- Waconia, Minnesota
- Sole Proprietor
- Yes
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 20, 2026, 2:08 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Internal Medicine
Pulmonary Disease
Allopathic & Osteopathic Physicians
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Taxonomy code 207RP1001X Student in an Organized Health Care Education/Training Program
Student, Health Care
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Taxonomy code 390200000X
Provider-Reported License Information
- Internal Medicine (Minnesota)
- 63495
Practice Locations
Practice Location
560 S Maple St Ste 400
Waconia, Minnesota 55387-1757
Phone: (952) 442-2191
Additional Practice Location
20 York St
New Haven, Connecticut 06510-3220
Phone: (203) 688-5555
Fax: (203) 688-4516
Additional Practice Location
20 York St
New Haven, Connecticut 06510-3220
Phone: (203) 688-5555
Fax: (203) 688-4516
Additional Practice Location
1575 Beam Ave
Maplewood, Minnesota 55109
Phone: (651) 232-7000
Record Information
- Enumeration Date
- March 20, 2012
- Provider's NPPES Record Last Updated
- November 26, 2022
- Certification Date
- November 26, 2022
- NPISignal NPPES Dataset
- August 2026
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