STACEY DOBROWOLSKI RN, PMHNP
NPI 1821870395
Nurse Practitioner - Psychiatric/Mental Health in Taunton, MA
About Stacey Dobrowolski Rn, Pmhnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STACEY DOBROWOLSKI RN, PMHNP (NPI 1821870395) is an individual psychiatric/mental health provider in Taunton, Massachusetts, licensed in Massachusetts (RN2295423) and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Brockton, and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Stacey Dobrowolski Rn, Pmhnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Stacey Dobrowolski reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Taunton, MA 02780
- Reassigned Medicare billing, Massachusetts enrollment
- 689 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 02780 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
TAUNTON, MA 02780
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 Stacey Dobrowolski's NPI number?
The NPI number for Stacey Dobrowolski is 1821870395. It was assigned to this individual provider in the NPPES registry on October 18, 2023.
Where is Stacey Dobrowolski located?
Stacey Dobrowolski practices at 30 Taunton Grn Ste 5, Taunton, MA 02780. The listed phone number is (774) 409-6892.
What is Stacey Dobrowolski's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Stacey Dobrowolski enrolled in Medicare?
Yes. Stacey Dobrowolski is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Stacey Dobrowolski's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stacey Dobrowolski reassigns Medicare benefits to Northeast Health Services, LLC (Taunton, MA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Stacey Dobrowolski's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Stacey Dobrowolski was last updated on May 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Stacey Dobrowolski, RN, PMHNP · NPI 1821870395
Psychiatric/Mental Health physician in Taunton, Massachusetts. Individual provider, active in the CMS NPPES registry since October 18, 2023.
## Identity
- **NPI:** 1821870395 (Entity type: Individual)
- **Enumerated:** October 18, 2023
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** RN2295423 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 30 TAUNTON GRN STE 5, Taunton, MA 02780-3243
- **Phone:** (774) 409-6892
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Northeast Health Services, LLC (NPI 1225067481, Taunton, MA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** May 8, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1821870395) · Data from the CMS NPPES public registry.