Individual provider Active NPI

Roxanne Dombrowski, APRN

  • Family Nurse Practitioner
  • Merrimack, NH
National Provider Identifier
1851700892
Registry record updated Jun 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
049016-23 Issued in NH
Practice address
7 Executive Park Dr
Merrimack, NH 03054-4058
Phone
(800) 887-5973
NPI assigned
Aug 4, 2014
Last updated
Jun 27, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 049016-23 NH Primary

Addresses

Primary practice location

7 Executive Park Dr
Merrimack, NH 03054-4058

Mailing address

7 Executive Park Dr
Merrimack, NH 03054-4058
Phone (800) 887-5973

Other identifiers 1

IdentifierTypeStateIssuer
049016-23OtherNHNH NURSING BOARD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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
I20160511001645 NH Practitioner - Nurse Practitioner 6800185026 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Home Health and Hospice CareGroup PAC ID 8426122169, 2 clinicians

Practice addresses (Care Compare)

7 Executive Park Dr
Merrimack, NH 03054-4058
Phone (603) 689-2951

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
049016-23NHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Home Health & Hospice Care CurrentSince Sep 19, 2016 Accepting new patients
Home Health & Hospice Care CurrentSince Sep 19, 2016 Accepting new patients

Locations

7 Executive Park Dr
Merrimack, NH 03054
Phone (603) 689-2951

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.

NPI Registry JSON

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

{
    "created_epoch": "1407110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593216000000",
    "number": "1851700892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 EXECUTIVE PARK DR",
            "city": "MERRIMACK",
            "state": "NH",
            "postal_code": "030544058",
            "telephone_number": "800-887-5973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 EXECUTIVE PARK DR",
            "city": "MERRIMACK",
            "state": "NH",
            "postal_code": "030544058",
            "telephone_number": "800-887-5973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMBROWSKI",
        "first_name": "ROXANNE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-04",
        "last_updated": "2020-06-27",
        "certification_date": "2020-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "049016-23",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NH NURSING BOARD",
            "identifier": "049016-23",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrimack, NH

Sources for this page

Verify at the official NPI Registry.