MRS. JESSICA ELANA DOMB NP
NPI 1104297605
Nurse Practitioner - Family in Middletown, NJ
About Mrs. Jessica Elana Domb Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. JESSICA ELANA DOMB NP (NPI 1104297605) is an individual family provider in Middletown, New Jersey, licensed in New Jersey (26NJ00597800) and active in the NPI registry since October 2015. She is enrolled in Medicare PECOS, maintains a secondary practice location in New York, and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
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
Mrs. Jessica Elana Domb Np 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.
Medicare Billing Reassignment
Medicare enrollment records show Jessica Domb reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Middletown, NJ 07748
- Reassigned Medicare billing, New Jersey enrollment
- 464 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 07748 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
MIDDLETOWN, NJ 07748
MIDDLETOWN, NJ 07748
MIDDLETOWN, NJ 07748
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 Jessica Domb's NPI number?
The NPI number for Jessica Domb is 1104297605. It was assigned to this individual provider in the NPPES registry on October 9, 2015.
Where is Jessica Domb located?
Jessica Domb practices at 480 Red Hill Rd, Middletown, NJ 07748. The listed phone number is (848) 225-6265.
What is Jessica Domb's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jessica Domb enrolled in Medicare?
Yes. Jessica Domb 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 organization bills Medicare for Jessica Domb's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Domb reassigns Medicare benefits to Msk Monmouth (Middletown, NJ). The 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 Jessica Domb's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jessica Domb was last updated on February 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Mrs. Jessica Elana Domb, NP · NPI 1104297605
Family physician in Middletown, New Jersey. Individual provider, active in the CMS NPPES registry since October 9, 2015.
## Identity
- **NPI:** 1104297605 (Entity type: Individual)
- **Enumerated:** October 9, 2015
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 26NJ00597800 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 480 RED HILL RD, Middletown, NJ 07748-3052
- **Phone:** (848) 225-6265
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Msk Monmouth (NPI 1922459163, Middletown, NJ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** February 16, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1104297605) · Data from the CMS NPPES public registry.