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

Dominica N Roberts, FNP

Individual provider Family Nurse Practitioner · NPI 1124594080

Dominica N Roberts, FNP is a Nurse Practitioner in North Bend, Oregon. Qualified in 2024, 2 years ago. Practices with Mendocino Community Health Clinic Inc, a 58-clinician group. Licensed in California and Oregon.

Years since qualifying
2
Licensed in
CA, OR
In the registry since
2018
Specialties on file
2
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

See every abbreviation used in this directory →

Practice location Address checks out

1890 Waite St
North Bend, OR 97459-1229
Phone: (541) 756-6232
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 10042861 (OR)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 95031253 (CA)

Record details

NPI number1124594080
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorYes
NPI enumeratedOctober 18, 2018
Last updated in NPPESMarch 27, 2026
Certification dateMarch 27, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Mendocino Community Health Clinic Inc — 58 clinicians
Accepts Medicare assignment Not indicated
Practice locations4 on file with Medicare

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