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

Q: What is Dominiqua Alexis's NPI number?

The NPI number for Dominiqua Alexis is 1053882290. It was assigned to this individual provider in the NPPES registry on December 16, 2018.

Q: What is Dominiqua Alexis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Dominiqua Alexis was last updated on June 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

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: November 01, 2026.

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

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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

Phone(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

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Secondary Practice Location 1

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

Medicare enrollment records show Dominiqua Alexis reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Florida Hospital Medical Group Inc

14 mi

Family Medicine

1115 E RIDGEWOOD ST
Orlando, FL 32803

Reassigned Medicare billing, Florida enrollment
3,005 clinicians in this Medicare group

NPI 1225034234 (407) 841-1100

Adventhealth Primary Care Network Inc

21 mi

Family Medicine

900 HOPE WAY
Altamonte Springs, FL 32714

Reassigned Medicare billing, Florida enrollment
395 clinicians in this Medicare group

NPI 1093493637 (407) 357-1000

Central Florida Health Care, Inc.

26 mi

Federally Qualified Health Center (FQHC)

130 RIDGE CENTER DR
Davenport, FL 33837

Reassigned Medicare billing, Florida enrollment
165 clinicians in this Medicare group

NPI 1194495614 (866) 234-8534

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the 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

Quality

72.69

Promoting Interoperability

95.03

Improvement Activities

Other Providers at the Same Location NPPES 13

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

HARSHAL JANI P.A.

Physician Assistant