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DOMINICA N ROBERTS FNP
NPI 1124594080
Nurse Practitioner - Family in North Bend, OR

Active since October 18, 2018PECOS Enrolled
1890 WAITE ST, NORTH BEND, OR 97459(541) 756-6232 Get Directions Write a Review

NPPES record last updated: March 27, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 27, 2026, Aug 1, 2024, Oct 18, 2018 (3 updates tracked since 2018).

About Dominica N Roberts Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DOMINICA N ROBERTS FNP (NPI 1124594080) is an individual family provider in North Bend, Oregon, licensed in Oregon (10042861) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS, is affiliated with Bay Area Hospital, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1124594080
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDOMINICA N ROBERTSCredential: FNP
Location Address1890 WAITE STNorth Bend, OR 97459-1229
Mailing Address3810 Buccaneer Ln Apt DNorth Bend, OR 97459-2490 · (541) 756-6232
Phone(541) 756-6232
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateOctober 18, 2018
Last NPPES UpdateMarch 27, 20263 updates tracked since enumeration
NPPES CertifiedMarch 27, 2026
✔ NPI 1124594080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in OR · 10042861✔ Licensed in CA · 95031253
1890 WAITE ST, North Bend, OR 97459
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dominica N Roberts Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4183154404
PECOS Enrollment IDI20260421003300
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Bay Area Hospital

Acute Care Hospitals · Coos Bay, OR
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number380090
Location1775 Thompson RoadCoos Bay, OR 97420 · Coos County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97459 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.82 typical visit price
range $54.96 – $166.64
Typical copayment $21.20 (range $13.74 – $41.66)
Most-billed visit code 99203
Established Patient
$97.16 typical visit price
range $17.68 – $136.19
Typical copayment $24.29 (range $4.42 – $34.04)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DIANE SMITH
Counselor
1890 WAITE ST
NORTH BEND, OR 97459
Coos County (541) 756-6232
SHU-WEN CHENG
Nurse Practitioner (Primary Care)
1890 WAITE ST
NORTH BEND, OR 97459
Coos County (541) 756-6232
MS. GLADYS SHADE QMHP, LCSW
Social Worker (Clinical)
1890 WAITE ST, SUITE 1
NORTH BEND, OR 97459
Coos County (541) 756-6232
INNOVATIVE PHYSICAL THERAPY, INC
Physical Therapist
1890 WAITE ST, SUITE 5
NORTH BEND, OR 97459
Coos County (541) 756-4941
ARTHUR LEE M.S., BCBA
Behavior Analyst
1890 WAITE ST
NORTH BEND, OR 97459
Coos County (541) 756-6232
LAURA JEAN BURNSIDE-MCELLIGOTT
Nurse Practitioner (Family)
1890 WAITE ST, STE 1
NORTH BEND, OR 97459
Coos County (541) 756-6232
ASTRID DIEPENBROEK RDH LIMITED ACCESS
Dental Hygienist
1890 WAITE ST, SUITE 1
NORTH BEND, OR 97459
Coos County (541) 756-6232
ABIGAIL MARIE BLAKE RN
Registered Nurse
1890 WAITE ST
NORTH BEND, OR 97459
Coos County (541) 756-6232

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dominica Roberts's NPI number?

The NPI number for Dominica Roberts is 1124594080. It was assigned to this individual provider in the NPPES registry on October 18, 2018.

Where is Dominica Roberts located?

Dominica Roberts practices at 1890 Waite St, North Bend, OR 97459. The listed phone number is (541) 756-6232.

What is Dominica Roberts's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Dominica Roberts enrolled in Medicare?

Yes. Dominica Roberts is registered in the Medicare PECOS enrollment system.

Is Dominica Roberts affiliated with any hospitals?

According to CMS data, Dominica Roberts is affiliated with Bay Area Hospital.

When was this NPI record last updated?

The NPPES record for Dominica Roberts was last updated on March 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.