DOMINIQUA ALEXIS APRN
NPI 1053882290
Nurse Practitioner - Family in Orlando, FL

Active since December 16, 2018PECOS EnrolledAccepts Medicare Assignment
84.85/100
CMS Quality Rating
9975 TAVISTOCK LAKES BLVD STE 220, ORLANDO, FL 32827(407) 930-7801 Get Directions Write a Review

NPPES record last updated: June 16, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 16, 2025, Jul 27, 2023, Dec 16, 2018 (3 updates tracked since 2018).

About Dominiqua Alexis Aprn NPPES

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

DOMINIQUA ALEXIS APRN (NPI 1053882290) is an individual family provider in Orlando, Florida, licensed in Florida (APRN9301470) and active in the NPI registry since December 2018. She is enrolled in Medicare PECOS, is affiliated with Adventhealth Orlando, and maintains a secondary practice location in Winter Haven.

NPPES Registry Identity

NPI1053882290
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDOMINIQUA ALEXISCredential: APRN
Location Address9975 TAVISTOCK LAKES BLVD STE 220Orlando, FL 32827-7665
Mailing Address9975 Tavistock Lakes Blvd Ste 220Orlando, FL 32827-7665 · (407) 930-7801
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateDecember 16, 2018
Last NPPES UpdateJune 16, 20253 updates tracked since enumeration
NPPES CertifiedJune 16, 2025
NPI 1053882290 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in FL · APRN9301470
9975 TAVISTOCK LAKES BLVD STE 220, Orlando, FL 32827

Secondary Practice Location 1

Location 11514 1st St NWinter Haven, FL 33881-2476 · Phone (863) 292-4280

Accepted Insurance

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

Dominiqua Alexis Aprn 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 ID2264778349
PECOS Enrollment IDI20190110000819
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
72 services61 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
29 services26 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
19 services19 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Adventhealth Orlando

Acute Care Hospitals · Orlando, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100007
Location601 E Rollins StOrlando, FL 32803 · Orange County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32827 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84.85/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality72.69
Promoting Interoperability95.03
Improvement Activities40

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Massage Therapist
9975 TAVISTOCK LAKES BLVD STE 220
ORLANDO, FL 32827
Physical Medicine & Rehabilitation
9975 TAVISTOCK LAKES BLVD STE 220
ORLANDO, FL 32827
Family Medicine
9975 TAVISTOCK LAKES BLVD STE 220
ORLANDO, FL 32827
Family Medicine
9975 TAVISTOCK LAKES BLVD STE 220
ORLANDO, FL 32827
Family Medicine
9975 TAVISTOCK LAKES BLVD STE 220
ORLANDO, FL 32827
Internal Medicine (Gastroenterology)
9975 TAVISTOCK LAKES BLVD STE 220
ORLANDO, FL 32827
Physician Assistant
9975 TAVISTOCK LAKES BLVD STE 220
ORLANDO, FL 32827
Physician Assistant
9975 TAVISTOCK LAKES BLVD STE 220
ORLANDO, FL 32827

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053882290, enumerated as an "individual" on December 16, 2018.

The provider is located at 9975 TAVISTOCK LAKES BLVD STE 220 ORLANDO, FL 32827 and the phone number is (407) 930-7801.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

The provider might be accepting Accepts: Florida Blue (BlueCross BlueShield FL), Florida. Please consult your insurance carrier or call the provider to verify.

Dominiqua Alexis is affiliated with: ADVENTHEALTH ORLANDO.