NATALIE C DOMENA PA
NPI 1063782712
Physician Assistant in Palm Beach Gardens, FL

Q: What is Natalie Domena's NPI number?

The NPI number for Natalie Domena is 1063782712. It was assigned to this individual provider in the NPPES registry on January 11, 2012.

Q: What is Natalie Domena's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Natalie Domena was last updated on January 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 January 11, 2012

70.3/100

CMS Quality Rating

3360 BURNS RD, C/O DEPT OF SURGERY, PALM BEACH GARDENS, FL 33410(561) 622-1411 Get Directions Write a Review

NPPES record last updated: January 10, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 10, 2025, Oct 12, 2022, Oct 4, 2018 (3 updates tracked since 2018).

On this page

About Natalie C Domena Pa NPPES

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

NATALIE C DOMENA PA (NPI 1063782712) is an individual physician assistant in Palm Beach Gardens, Florida, licensed in Florida (PA9107152) and active in the NPI registry since January 2012.

NPPES Registry Identity

NPI1063782712

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameNATALIE C DOMENACredential: PA

Location Address3360 BURNS RD, C/O DEPT OF SURGERYPalm Beach Gardens, FL 33410

Mailing Address3360 Burns RdPalm Beach Gardens, FL 33410-4323 · (561) 622-1411

Phone(561) 622-1411

Sole ProprietorNo

Enumeration DateJanuary 11, 2012

Last NPPES UpdateJanuary 10, 20253 updates tracked since enumeration

NPPES CertifiedJanuary 10, 2025

✔ NPI 1063782712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in FL · PA9107152

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License PA9107152 (FL)

3360 BURNS RD, Palm Beach Gardens, FL 33410

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Wellpoint.Insurance ›

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.

70.3/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

75.33

Promoting Interoperability

Improvement Activities

Cost

48.19

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.

DR. SREEDHAR CHINTALA M.D

Internal Medicine (Critical Care Medicine)

3360 BURNS RD, GUN HILL ROAD
PALM BEACH GARDENS, FL 33410

Palm Beach County (561) 622-1411

DAVID J WEST MD

Anesthesiology

3360 BURNS RD, DEPARTMENT OF ANESTHESIOLOGY
PALM BEACH GARDENS, FL 33410

Palm Beach County (561) 622-1411

MARK W CHIAMPOU CRNA

Nurse Anesthetist, Certified Registered