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DAWN JANNICE DOMENECH A-GNP-C
NPI 1093171456
Nurse Practitioner - Family in Yuma, AZ

Active since January 14, 2016PECOS EnrolledAccepts Medicare Assignment
888 W 16TH ST, YUMA, AZ 85364(928) 550-7000(928) 550-7006 Get Directions Write a Review

NPPES record last updated: August 17, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 17, 2022, Jan 14, 2016 (2 updates tracked since 2016).

About Dawn Jannice Domenech A-gnp-c NPPES

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

DAWN JANNICE DOMENECH A-GNP-C (NPI 1093171456) is an individual family provider in Yuma, Arizona, licensed in Arizona (AP8363) and active in the NPI registry since January 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1093171456
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDAWN JANNICE DOMENECHCredential: A-GNP-C
Location Address888 W 16TH STYuma, AZ 85364-4542
Mailing Address2851 S Avenue B, Building 4Yuma, AZ 85364-7726 · (928) 376-0026
Phone(928) 550-7000
Fax(928) 550-7006
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJanuary 14, 2016
Last NPPES UpdateAugust 17, 20222 updates tracked since enumeration
NPPES CertifiedAugust 17, 2022
✔ NPI 1093171456 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in AZ · AP8363
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License TAP8363 (AZ)
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License TAP8363 (AZ)
888 W 16TH ST, Yuma, AZ 85364
Open in Google Maps ↗

Other Names 1

Former Name (1)Dawn J Byars

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Blue Cross Blue Shield of Arizona and more.Insurance ›

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

Dawn Jannice Domenech A-gnp-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 ID2163728916
PECOS Enrollment IDI20160304001221
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

3

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

Acacia Family Practice Group Inc
Same address
Family Medicine
888 W 16TH ST
Yuma, AZ 85364
  • Reassigned Medicare billing, Arizona enrollment
  • 2 clinicians in this Medicare group
NPI 1316508211 (928) 550-7000
Community Intervention Associates, Inc.
1.6 mi
Primary Care
2851 S. AVE B, BLDG 29A SUITE 2902
Yuma, AZ 85364
  • Reassigned Medicare billing, Arizona enrollment
  • 34 clinicians in this Medicare group
NPI 1851651079 (928) 304-7729
Acacia Family Practice Group Of Lake Havasu, Inc
124 mi
General Practice
1951 MESQUITE AVE STE H
Lake Havasu City, AZ 86403
  • Reassigned Medicare billing, Arizona enrollment
  • 3 clinicians in this Medicare group
NPI 1295469641 (928) 550-7036

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 7

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.
350 services129 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.
168 services98 patients
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211
This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.
95 services73 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
61 services25 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
42 services42 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
41 services35 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85364 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
10 suppliers27 claims49 services$6.33 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers15 claims17 services$1.13 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers13 claims15 services$16.40 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
3 suppliers33 claims35 services$5.68 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers15 claims17 services$84.94 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier12 claims12 services$208.38 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

ACACIA FAMILY PRACTICE GROUP INC
Family Medicine
888 W 16TH ST
YUMA, AZ 85364
Yuma County (928) 550-7000
MRS. MELISSA MARIE HARE NP
Nurse Practitioner (Family)
888 W 16TH ST
YUMA, AZ 85364
Yuma County (928) 550-7000
FAMILY MEDICINE & WEIGHT MANAGEMENT SPECIALTY PLLC
Family Medicine
888 W 16TH ST
YUMA, AZ 85364
Yuma County (928) 550-7000

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 Dawn Domenech's NPI number?

The NPI number for Dawn Domenech is 1093171456. It was assigned to this individual provider in the NPPES registry on January 14, 2016. The provider is also known as Dawn J Byars.

Where is Dawn Domenech located?

Dawn Domenech practices at 888 W 16th St, Yuma, AZ 85364. The listed phone number is (928) 550-7000.

What is Dawn Domenech's specialty?

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

Is Dawn Domenech enrolled in Medicare?

Yes. Dawn Domenech 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.

Which organizations bill Medicare for Dawn Domenech's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dawn Domenech reassigns Medicare benefits to 3 organizations: Acacia Family Practice Group Inc (Yuma, AZ), Community Intervention Associates, Inc. (Yuma, AZ) and Acacia Family Practice Group Of Lake Havasu, Inc (Lake Havasu City, AZ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Dawn Domenech's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dawn Domenech accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc. and UnitedHealthcare list Dawn Domenech as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dawn Domenech was last updated on August 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.