Individual provider Active NPI

Dawn Dee Ostberg, FNP-BC

  • Nurse Practitioner
  • Dededo, GU
National Provider Identifier
1376143560
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
NP0222 Issued in GU
Practice address
655 Harmon Loop Rd Ste 108
Dededo, GU 96929-6544
Phone
(671) 633-4404
Fax
(671) 633-4452
NPI assigned
Oct 28, 2020
Last updated
Apr 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NP0222 GU Primary
Family Medicine Physician 207Q00000X 20NP03 GU

Addresses

Primary practice location

655 Harmon Loop Rd Ste 108
Dededo, GU 96929-6544

Mailing address

240R Enrique San Nicolas
Talofofo, GU 96915-3630
Phone (671) 788-3296

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GU
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

Enrollment IDStateProvider typePAC IDDetails
I20220506000845 GU Practitioner - Nurse Practitioner 7012307168 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Takecare Insurance Company IncGroup PAC ID 8325951239, 28 clinicians

Practice addresses (Care Compare)

133 Route 3
Dededo, GU 96929-6911
Phone (671) 645-5500

548 S Marine Corps Dr
Tamuning, GU 96913-3539
Phone (671) 646-5825

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
20NP03GUMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Guam Healthcare Development Incorporated CurrentSince May 6, 2025 Accepting new patients
Takecare Insurance Company Inc. Family Medicine CurrentSince Apr 11, 2022 Accepting new patients

Locations

133 Route 3
Dededo, GU 96929
Phone (671) 645-5500

548 S Marine Corps Dr
Tamuning, GU 96913
Phone (671) 646-5824

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1603843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744070400000",
    "number": "1376143560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240R ENRIQUE SAN NICOLAS",
            "city": "TALOFOFO",
            "state": "GU",
            "postal_code": "969153630",
            "telephone_number": "671-788-3296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 HARMON LOOP RD STE 108",
            "city": "DEDEDO",
            "state": "GU",
            "postal_code": "969296544",
            "telephone_number": "671-633-4404",
            "fax_number": "671-633-4452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSTBERG",
        "first_name": "DAWN",
        "middle_name": "DEE",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-28",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GU",
            "license": "NP0222",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GU",
            "license": "20NP03",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dededo, GU

Sources for this page

Verify at the official NPI Registry.