MRS. NADEJDA GOROBTSOVA (NP) – Family Nurse Practitioner, NPI 1285760892

MRS. NADEJDA GOROBTSOVA (NP) is a healthcare provider. based in Providence, Rhode Island. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. NPP37347 (RI). The NPI Number for MRS. NADEJDA GOROBTSOVA (NP) is 1285760892

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
MRS. NADEJDA GOROBTSOVA (NP)
NPI
1285760892
Phone
(401) 793-2500
Address
164 SUMMIT AVE
Enumeration Date
26 February 2007
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4013546050
Graduation Year
2005 (21 years ago)
PAC ID
4284955949
Group Practice PAC ID
2567455082
Professional Enrollment ID
I20150605001600
Address ID
RI029045114NO185XXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,476 NURSE PRACTITIONER in RI

Provider Addresses for MRS. NADEJDA GOROBTSOVA (NP)

  • 164 SUMMIT AVE

    PROVIDENCE, RI 029062853

    Phone: (401) 793-2500

    Fax: (401) 793-3459

    Type: Location

  • 11 RHODES LN

    FOXBORO, MA 020352277

    Phone: (508) 543-1704

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-06-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150605001600INurse PractitionerRITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02906)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2567455082View full group profile

Reviews

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Frequently asked questions

Does MRS. NADEJDA GOROBTSOVA (NP) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MRS. NADEJDA GOROBTSOVA (NP) uses 1285760892.
Is MRS. NADEJDA GOROBTSOVA (NP) listed as active for patients and plans?
The listing shows MRS. NADEJDA GOROBTSOVA (NP) as active in the NPI system.
What is MRS. NADEJDA GOROBTSOVA (NP) best known for clinically?
Directory data describes MRS. NADEJDA GOROBTSOVA (NP) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does MRS. NADEJDA GOROBTSOVA (NP) list a practice location?
Patients near Providence, Rhode Island may find MRS. NADEJDA GOROBTSOVA (NP) in results; validate coverage separately.
Why does MRS. NADEJDA GOROBTSOVA (NP) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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