Justin Rohrback, CRNP
Nurse Practitioner, Family in Brogue, PA. Individual provider (NPI-1).
NPI number1801412465
StatusActive
Last updated in NPPESNov 6, 2023
Details
- NPI
- 1801412465
- Entity type
- Individual (NPI-1)
- Name
- Mr. Justin Rohrback
- Credential
- CRNP
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 19, 2020
- Certification date
- Nov 6, 2023
- Last updated
- Nov 6, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | SP022119 | PA | Yes |
| 163W00000X | Registered Nurse | RN700337 | PA |
Practice location
2500 Delta RdBrogue, PA 17309-9106
Phone 717-927-8434
Mailing address
2500 Delta RdBrogue, PA 17309-9106
Other practice locations
1115 Marietta Ave Apt 26
Lancaster, PA 17603-2552
Lancaster, PA 17603-2552
Phone 717-818-4126
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