Active NPI
Deanne Lynn Romaine, NP
- Nurse Practitioner
- Mankato, MN
National Provider Identifier
1326008715
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- R 078275-5
- Practice address
- 1400 E Madison Ave
Ste 402
Mankato, MN 56001-5473 - Phone
- (507) 625-7246
- Fax
- (507) 386-2599
- NPI assigned
- Mar 28, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | R 078275-5 | MN | Primary |
Addresses
Primary practice location
1400 E Madison Ave
Ste 402
Mankato, MN 56001-5473
Mailing address
4131 W Loomis Rd
Ste 300
Greenfield, WI 53221-2057
Phone (414) 325-7246
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R 078275-5 | MN | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Pain Management SC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pain Medicine Physician
- Greenfield, WI
- NPI 1770506669
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291852800000",
"number": "1326008715",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4131 W LOOMIS RD",
"address_2": "STE 300",
"city": "GREENFIELD",
"state": "WI",
"postal_code": "532212057",
"telephone_number": "414-325-7246",
"fax_number": "414-325-3770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 E MADISON AVE",
"address_2": "STE 402",
"city": "MANKATO",
"state": "MN",
"postal_code": "560015473",
"telephone_number": "507-625-7246",
"fax_number": "507-386-2599"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROMAINE",
"first_name": "DEANNE",
"middle_name": "LYNN",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-28",
"last_updated": "2010-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MN",
"license": "R 078275-5",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mankato, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.