Individual provider Active NPI

Janet Gobrogge, N.P.

  • Psychiatric/Mental Health Nurse Practitioner
  • Akron, OH
National Provider Identifier
1992890867
Registry record updated Dec 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
NP-10445 Issued in OH
Practice address
3763 Eddishire Rd
Akron, OH 44319-3825
Phone
(330) 697-8845
Fax
(330) 836-7704
NPI assigned
Oct 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NP-10445 OH Primary
Child & Adolescent Psychiatric/Mental Health Registered Nurse 163WP0807X RN-202618 OH

Addresses

Primary practice location

3763 Eddishire Rd
Akron, OH 44319-3825

Mailing address

3763 Eddishire Rd
Akron, OH 44319-3825

Other identifiers 1

IdentifierTypeStateIssuer
NP-10445OtherOHCERIFIED NURSE PRACTITIONER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120605000586 OH Practitioner - Certified Clinical Nurse Specialist (CNS) 3476717398 Reassigns benefits to 1 organization
I20160224002208 OH Practitioner - Nurse Practitioner 3476717398 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3250 W Market St
Suite 101
Fairlawn, OH 44333-3319
Phone (330) 864-5100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN-202618OHMDChild & Adolescent Psychiatric/Mental Health Registered Nurse
NP-10445OHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Village Network CurrentSince Dec 1, 2015 Accepting new patients
Janet Gobrogge CNP LLC Psychiatric/Mental Health CurrentSince Jan 5, 2016 Accepting new patients
Community Behavioral Nursing Services, Inc PastSince Jul 30, 2012 Accepting new patients

Locations

3250 W Market St
Ste 101
Fairlawn, OH 44333
Phone (330) 864-0600

204 2nd St NE
New Philadelphia, OH 44663
Phone (234) 801-2369

2000 Noble Dr
Wooster, OH 44691
Phone (330) 439-8492

3011 Akron Rd
Wooster, OH 44691
Phone (330) 202-3875

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1230508800000",
    "number": "1992890867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3763 EDDISHIRE RD",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443193825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3763 EDDISHIRE RD",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443193825",
            "telephone_number": "330-697-8845",
            "fax_number": "330-836-7704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOBROGGE",
        "first_name": "JANET",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2008-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "NP-10445",
            "primary": true
        },
        {
            "code": "163WP0807X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
            "state": "OH",
            "license": "RN-202618",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERIFIED NURSE PRACTITIONER",
            "identifier": "NP-10445",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

Verify at the official NPI Registry.