MRS. ROXANNE JO DOBRAVA (MSN, APRN, PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1336700491

MRS. ROXANNE JO DOBRAVA (MSN, APRN, PMHNP-BC) is a healthcare provider. based in Gillette, Wyoming. specializing in NURSE PRACTITIONER. They hold the professional credentials MSN, APRN, PMHNP-BC. They hold a License No. 2509054 (MN). The NPI Number for MRS. ROXANNE JO DOBRAVA (MSN, APRN, PMHNP-BC) is 1336700491

Main info

Female
Sole Proprietor
3 Years Of Experience
Accepts Medicare Assignment
Name
MRS. ROXANNE JO DOBRAVA (MSN, APRN, PMHNP-BC)
NPI
1336700491
Phone
(701) 500-0794
Address
8390 PTARMIGAN AVE APT A
Enumeration Date
27 June 2019
Last Update Date
26 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2182540101
Graduation Year
2023 (3 years ago)
PAC ID
1456884881
Group Practice PAC ID
4981009479
Professional Enrollment ID
I20241024000157
Address ID
MN557191817CH12XXXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:6State licenses:4Digital endpointsOther names

596 NURSE PRACTITIONER in WY

Provider Addresses for MRS. ROXANNE JO DOBRAVA (MSN, APRN, PMHNP-BC)

  • 8390 PTARMIGAN AVE APT A

    GILLETTE, WY 827187269

    Phone: (701) 500-0794

    Type: Mailing

  • 1336 State Highway 345

    Ranchester, WY 828398532

    Phone: (307) 461-0880

    Type: Location

  • 12 W Lake St

    Chisholm, MN 557191817

    Phone: (218) 254-0101

    Type: Location

  • Sheridan VA Medical Center, 1898, Fort Road, Sheridan County, Wyoming, 82801, United States

    SHERIDAN, WY 828018322

    Phone: (307) 675-3532

    Type: Location

  • 8245 W BEATRICE DR

    CLEAR LAKE, MN 553199464

    Phone: (701) 500-0794

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $27.

Total Amount is formed as General ($27) + Research ($0) + Ownership ($0) = $27.

Last reported payment date: 2024-07-24 • Largest payer in this snapshot: Tempus AI, Inc ($27).

Total Amount

$27

General + Research + Ownership

Payments

1

Total payment records

General Amount

$27

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-24

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Tempus AI, Inc$27
View all Open Payments →|Open Payments Risk Radar →

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: 2024-10-24

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
I20241024000157INurse PractitionerMNTBD

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 82718)

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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: 4981009479View full group profile
NameSpecialtyState
Nurse PractitionerMN
Nurse PractitionerWI
Nurse PractitionerMN
Nurse PractitionerMN

Reviews

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Frequently asked questions

How is MRS. ROXANNE JO DOBRAVA (MSN, APRN, PMHNP-BC) identified in CMS data?
CMS-hosted NPPES data lists MRS. ROXANNE JO DOBRAVA (MSN, APRN, PMHNP-BC) with NPI 1336700491.
Can I rely on MRS. ROXANNE JO DOBRAVA (MSN, APRN, PMHNP-BC) being an active provider?
As of the registry snapshot, MRS. ROXANNE JO DOBRAVA (MSN, APRN, PMHNP-BC) is marked active.
What is MRS. ROXANNE JO DOBRAVA (MSN, APRN, PMHNP-BC)'s primary classification?
Psychiatric/Mental Health Nurse Practitioner is the headline specialty for MRS. ROXANNE JO DOBRAVA (MSN, APRN, PMHNP-BC) here. Clinical services aligned with this taxonomy classification.
What address line appears for MRS. ROXANNE JO DOBRAVA (MSN, APRN, PMHNP-BC)?
MRS. ROXANNE JO DOBRAVA (MSN, APRN, PMHNP-BC)'s geographic hint is Gillette, Wyoming in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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