John Dominick Rossi, DNP, APRN, PMHNP-BC
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Clovis, NM
NPI 1689393993 · NPPES record last updated Aug 21, 2025
Key facts
- NPI
- 1689393993
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 72205 (NM)
- Practice address
- 605 N Main St
Clovis, NM 88101-6656 - Phone
- (903) 244-8441
- NPI assigned
- Aug 22, 2022
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
138 E 12300
Unit 328
Draper, UT 84020-7965
138 E 12300 S Unit
Suite 328
Draper, UT 84020-7976
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250507003133 | NM | Practitioner - Nurse Practitioner | 7719404359 | Practice locations: Clovis, NM |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 72205 | NM | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clarity Mental Health and Wellness | Psychiatric/Mental Health | Current |
Accepting new patients |
Locations
605 N Main St
Clovis, NM 88101
Phone (602) 380-2728
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 72205 | NM | Yes |
Addresses
Primary practice location
605 N Main St
Clovis, NM 88101-6656
Mailing address
605 N Main St
Clovis, NM 88101-6656
Phone (903) 244-9441
Other providers in Clovis, NM
- Kellyann Romero
- Tudy Ann Romero
- Roosevelt County Special Hospital District
- Samwel Rorya
- David Lee Rossen
- Roswell Home Medical Inc
- Nicholas J Rowley
- Nicholas John Rowley II
- Andrew Roybal
- Royce E. Jones & John D. Caley PTR
All providers in Clovis, NM · Psychiatric/Mental Health Nurse Practitioner in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 21, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.