Active NPI
Janet Gobrogge, N.P.
- Psychiatric/Mental Health Nurse Practitioner
- Akron, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- NP-10445
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NP-10445 | Other | OH | CERIFIED NURSE PRACTITIONER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
| License | State | Type | Specialty |
|---|---|---|---|
| RN-202618 | OH | MD | Child & Adolescent Psychiatric/Mental Health Registered Nurse |
| NP-10445 | OH | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Village Network | Current | Accepting new patients | |
| Janet Gobrogge CNP LLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Community Behavioral Nursing Services, Inc | Past | 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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Fairlawn, OH
- NPI 1669831228
-
- Voluntary or Charitable Agency
- Wooster, OH
- NPI 1124057914
-
- Home Health Agency
- Fairlawn, OH
- NPI 1285942458
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2008; 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.