Roxanne Jo Dobrava, MSN, APRN, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

11444 Issued in MN

Practice address

3 Century Ave SE
Hutchinson, MN 55350-3108

Phone

(320) 234-3290

NPI assigned

Jun 27, 2019

Last updated

May 12, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• Ms. Roxanne Jo Williamson Former name

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northern Tranquility Mental Health ServicesGroup PAC ID 4981009479, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Northern Tranquility Mental Health Services

  • Community/Behavioral Health Agency
  • Chisholm, MN
  • NPI 1700469640
  Medicare reassignment Care Compare group NPD
• Transformation House Inc

  dba Agape Health and Wellness

  • Mental Health Counselor
  • Anoka, MN
  • NPI 1417768771
  Medicare reassignment NPD
• Hutchinson Health

  dba Hutchinson Health Hospital

  • General Acute Care Hospital
  • Hutchinson, MN
  • NPI 1053508820
  Medicare reassignment
• Tranquil Minda Mental Health LLC

  dba Tranquil Minds Mental Health

  • Psychiatric/Mental Health Nurse Practitioner
  • Monticello, MN
  • NPI 1801616248
  NPD (past) Authorized official
• Transformation House, Inc.

  • Substance Abuse Rehabilitation Facility
  • Fridley, MN
  • NPI 1376950469
  NPD
• Vital TMS

  • Psychiatry Physician
  • Sheridan, WY
  • NPI 1063283380
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1561593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778544000000",
    "number": "1336700491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8170 33RD AVE S # MS 21110Q",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554254516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 CENTURY AVE SE",
            "city": "HUTCHINSON",
            "state": "MN",
            "postal_code": "553503108",
            "telephone_number": "320-234-3290"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12 W Lake St",
            "address_purpose": "LOCATION",
            "city": "Chisholm",
            "state": "MN",
            "postal_code": "557191817",
            "country_code": "US",
            "telephone_number": "218-254-0101",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8245 W Beatrice Dr",
            "address_purpose": "LOCATION",
            "city": "Clear Lake",
            "state": "MN",
            "postal_code": "553199464",
            "country_code": "US",
            "telephone_number": "701-500-0794",
            "fax_number": "855-239-8566",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1336 State Highway 345",
            "address_purpose": "LOCATION",
            "city": "Ranchester",
            "state": "WY",
            "postal_code": "828398532",
            "country_code": "US",
            "telephone_number": "307-461-0880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOBRAVA",
        "first_name": "ROXANNE",
        "middle_name": "JO",
        "name_prefix": "Mrs.",
        "credential": "MSN, APRN, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-27",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "2509054",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WY",
            "license": "37941",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WY",
            "license": "54319",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MN",
            "license": "11444",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1801616248",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROXANNE",
            "last_name": "WILLIAMSON",
            "middle_name": "JO",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mark Joel Derocher, D.D.S.
• Ellyssa Dettman
• Robin Renee Dettman
• Katelin Dietel, LGSW
• Jordan Dobbs
• Dominion Resources, Inc (Dominion Cares)
• Dr Adam Fink Family Chiropractic LLC
• Haley Marie Dressel
• Crystal Dressler, R.N.
• Eileen Marie Dummer, MA, LPCC

• Psychiatric/Mental Health Nurse Practitioner in Hutchinson, MN
• Providers in Hutchinson, MN by specialty
• Psychiatric/Mental Health Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.