Active NPI
John Dominick Rossi, DNP, APRN, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Clovis, NM
National Provider Identifier
1689393993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 72205
- Practice address
- 605 N Main St
Clovis, NM 88101-6656 - Phone
- (903) 244-8441
- NPI assigned
- Aug 22, 2022
- Last updated
- Aug 21, 2025
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 72205 | NM | Primary |
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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250507003133 | NM | Practitioner - Nurse Practitioner | 7719404359 | Practice locations: Clovis, NM |
Care Compare profile
Medicare Care Compare- 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
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
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Psychiatric/Mental Health Nurse Practitioner
- Clovis, NM
- NPI 1639964315
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755734400000",
"number": "1689393993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "605 N MAIN ST",
"city": "CLOVIS",
"state": "NM",
"postal_code": "881016656",
"telephone_number": "903-244-9441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "605 N MAIN ST",
"city": "CLOVIS",
"state": "NM",
"postal_code": "881016656",
"telephone_number": "903-244-8441"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSSI",
"first_name": "JOHN",
"middle_name": "DOMINICK",
"name_prefix": "Dr.",
"credential": "DNP, APRN, PMHNP-BC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-08-22",
"last_updated": "2025-08-21",
"certification_date": "2025-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NM",
"license": "72205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clovis, NM
- Kellyann Romero, BS
- Tudy Ann Romero
- Roosevelt County Special Hospital District (N/a)
- Samwel Rorya, NP
- David Lee Rossen, LMHC
- Roswell Home Medical Inc (Major Medical)
- Nicholas J Rowley, MD
- Nicholas John Rowley II, DDS
- Andrew Roybal
- Royce E. Jones & John D. Caley PTR (CLOVIS ANESTHESIA and ASSOCIATES)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2025; 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.