Dominica N. Roberts, FNP
NPI 1124594080ActiveIndividual· Nurse Practitioner, Family· North Bend, OR
Nurse Practitioner, Family (FNP) with Mendocino Community Health Clinic Inc and 1 other group, practicing in North Bend, Oregon. Part D covered 62 prescriptions written in 2024, 84% of them generic. Lists Adventist Health Howard Memorial and 2 other hospitals as hospital affiliations.
Overview
| NPI | 1124594080 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | FNP |
| Sole proprietor | Yes |
| NPI issued | Oct 18, 2018 |
| Last updated in NPPES | Mar 27, 2026 |
| Certified by provider | Mar 27, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 10042861 | OR |
| Nurse Practitioner, Family | 363LF0000X | 95031253 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (CA); Practitioner - Nurse Practitioner (OR) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 62 · 112 30-day fills |
|---|---|
| Patients | 21 |
| Total drug cost | $3,887 |
| Generic share | 84% of claims |
Education and affiliations
| Graduation year | 2024 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical groups
- Mendocino Community Health Clinic IncUkiah, CA · 59 clinicians
- Waterfall Clinic IncorporatedNorth Bend, OR · 14 clinicians
Hospital affiliations
- Adventist Health Howard MemorialWillits, CA
- Adventist Health Ukiah ValleyUkiah, CA
- Bay Area HospitalCoos Bay, OR
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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