COLLEEN KASSANDRA DOMINICI PA-C
NPI 1003654484
Physician Assistant - Medical in Erie, PA

Q: What is Colleen Dominici's NPI number?

The NPI number for Colleen Dominici is 1003654484. It was assigned to this individual provider in the NPPES registry on July 18, 2024.

Q: What is Colleen Dominici's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Colleen Dominici was last updated on October 2, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 18, 2024PECOS EnrolledAccepts Medicare Assignment

201 STATE ST, ERIE, PA 16550(814) 877-4922(814) 877-3622 Get Directions Write a Review

NPPES record last updated: October 2, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 2, 2024, Jul 18, 2024 (2 updates tracked since 2024).

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About Colleen Kassandra Dominici Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COLLEEN KASSANDRA DOMINICI PA-C (NPI 1003654484) is an individual medical provider in Erie, Pennsylvania, licensed in Pennsylvania (MA065596) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1003654484

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameCOLLEEN KASSANDRA DOMINICICredential: PA-C

Location Address201 STATE STErie, PA 16550-0002

Mailing Address201 State StErie, PA 16550-0002 · (814) 877-4922 · Fax (814) 877-3622

Phone(814) 877-4922

Fax(814) 877-3622

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateJuly 18, 2024

Last NPPES UpdateOctober 2, 20242 updates tracked since enumeration

NPPES CertifiedOctober 2, 2024

✔ NPI 1003654484 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in PA · MA065596

201 STATE ST, Erie, PA 16550

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Colleen Kassandra Dominici Pa-c 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.

PECOS PAC ID3072053214

PECOS Enrollment IDI20240913002592

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

MARIA W DAVISON MD

Emergency Medicine

201 STATE ST, HAMOT EMERGENCY ROOM
ERIE, PA 16550

Erie County (814) 877-6139

RICHARD WILLIAM NAGLE MD

Radiology (Diagnostic Radiology)

201 STATE ST
ERIE, PA 16550

Erie County (814) 877-6000

JUSTIN JAMES EGGLESTON DO

Emergency Medicine

201 STATE ST, HAMOT EMERGENCY ROOM
ERIE, PA 16550

Erie County (814) 877-6139

PATRICIA C SKINNER PA

Emergency Medicine

201 STATE ST, HAMOT EMERGENCY DEPT
ERIE, PA 16550

Erie County (814) 877-6139

ROBERT W JOHANSEN MD

Psychiatry & Neurology (Psychiatry)

201 STATE ST, HAMOT FACULTY SPECIALISTS
ERIE, PA 16550

Erie County (814) 877-4922

MR. JEFFREY R LARSON CRNP

Nurse Practitioner

201 STATE ST
ERIE, PA 16550

Erie County (814) 877-6139

MR. TIMOTHY E MYERS RN, CRNA

Nurse Anesthetist, Certified Registered

201 STATE ST
ERIE, PA 16550

Erie County (814) 877-2000

MR. THOMAS JOSEPH THOMPSON M.S., M.B.A., R.PH.

Pharmacist (Pharmacotherapy)

201 STATE ST, HAMOT MEDICAL CENTER
ERIE, PA 16550

Erie County (814) 877-2710

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 Colleen Dominici's NPI number?

The NPI number for Colleen Dominici is 1003654484. It was assigned to this individual provider in the NPPES registry on July 18, 2024.

Where is Colleen Dominici located?

Colleen Dominici practices at 201 State St, Erie, PA 16550. The listed phone number is (814) 877-4922.

What is Colleen Dominici's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Colleen Dominici enrolled in Medicare?

Yes. Colleen Dominici 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.

When was this NPI record last updated?

The NPPES record for Colleen Dominici was last updated on October 2, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.