Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dmitry Sergeyevich Romanov, NP

Individual provider Family Nurse Practitioner · NPI 1407599251

Dmitry Sergeyevich Romanov, NP is a Nurse Practitioner in Joplin, Missouri. Qualified in 2022, 4 years ago. Practices with Community Health Center of Southeast Kansas Inc, a 111-clinician group and accepts Medicare assignment. Licensed in Kansas and Missouri.

Years since qualifying
4
Licensed in
KS, MO
In the registry since
2022
Specialties on file
3
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

1102 W 32nd St
Joplin, MO 64804-3503
Phone: (417) 347-1111
Fax: (417) 347-2118
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 20230080819 (MO)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 81207 (KS)
Registered Nurse Taxonomy 163W00000X · Licence 147999 (KS)

Record details

NPI number1407599251
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorNo
NPI enumeratedApril 19, 2022
Last updated in NPPESJanuary 7, 2026
Certification dateJanuary 7, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Community Health Center Of Southeast Kansas Inc — 111 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

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