Individual provider Active NPI

Justin Rohrback, CRNP

  • Family Nurse Practitioner
  • Brogue, PA
National Provider Identifier
1801412465
Registry record updated Nov 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP022119 Issued in PA
Practice address
2500 Delta Rd
Brogue, PA 17309-9106
Phone
(717) 927-8434
NPI assigned
Jun 19, 2020
Last updated
Nov 6, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP022119 PA Primary
Registered Nurse 163W00000X RN700337 PA

Addresses

Primary practice location

2500 Delta Rd
Brogue, PA 17309-9106

Mailing address

2500 Delta Rd
Brogue, PA 17309-9106

Other practice location 1

1115 Marietta Ave Apt 26
Lancaster, PA 17603-2552
Phone (717) 818-4126

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jrohrback243103@phsdirect.pinnaclehealth.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20210504000225 PA Practitioner - Nurse Practitioner 2668881657 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
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2500 Delta Rd
Brogue, PA 17309-9106
Phone (717) 927-8434

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.61 of 100Reported as group
Quality
83.98
Promoting interoperability
100
Improvement activities
40
Cost
78.06

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN700337PAMDRegistered Nurse
SP022119PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Regional Physicians CurrentSince Mar 6, 2023 Accepting new patients
Pinnacle Health Regional Physicians CurrentSince Mar 6, 2023 Accepting new patients
St Luke's Physician Group Inc CurrentSince Jan 26, 2021 Accepting new patients
St. Luke's Physician Group, Inc. Current Accepting new patients
St Luke's Physician Group Inc CurrentSince Jan 26, 2021 Accepting new patients
Pinnacle Health Medical Services Past Accepting new patients

Locations

421 Chew St
Allentown, PA 18102
Phone (610) 776-4500

210 Forge Rd
Boiling Springs, PA 17007
Phone (717) 249-8300

2500 Delta Rd
Brogue, PA 17309
Phone (717) 927-8434

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

4314 N George Street Ext
#D
Manchester, PA 17345

3141 Cape Horn Rd
Red Lion, PA 17356
Phone (717) 246-5180

Interoperability endpoints

  • Direct secure messaging: jrohrback243103@phsdirect.pinnaclehealth.org

Organizations & group practices 6

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 6

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": "1592524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699228800000",
    "number": "1801412465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 DELTA RD",
            "city": "BROGUE",
            "state": "PA",
            "postal_code": "173099106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 DELTA RD",
            "city": "BROGUE",
            "state": "PA",
            "postal_code": "173099106",
            "telephone_number": "717-927-8434"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1115 Marietta Ave Apt 26",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "PA",
            "postal_code": "176032552",
            "country_code": "US",
            "telephone_number": "717-818-4126",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROHRBACK",
        "first_name": "JUSTIN",
        "name_prefix": "Mr.",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-06-19",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP022119",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN700337",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jrohrback243103@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2500 Delta Rd",
            "city": "Brogue",
            "state": "PA",
            "country_code": "US",
            "postal_code": "173099106",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brogue, PA

Sources for this page

Verify at the official NPI Registry.