MRS. JESSICA ELANA DOMB NP
NPI 1104297605
Nurse Practitioner - Family in Middletown, NJ

Active since October 09, 2015PECOS EnrolledAccepts Medicare Assignment
80.17/100
CMS Quality Rating
480 RED HILL RD, MIDDLETOWN, NJ 07748(848) 225-6265 Get Directions Write a Review

NPPES record last updated: February 16, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

NPI1104297605
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. JESSICA ELANA DOMBCredential: NP
Location Address480 RED HILL RDMiddletown, NJ 07748-3052
Mailing Address9 Oran PlMorganville, NJ 07751-2002 · (917) 443-7389
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateOctober 9, 2015
Last NPPES UpdateFebruary 16, 2023
NPPES CertifiedFebruary 16, 2023
NPI 1104297605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses Licensed in NJ · 26NJ00597800 Licensed in NY · 341708
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 307222 (NY)
480 RED HILL RD, Middletown, NJ 07748

Secondary Practice Location 1

Location 1550 1st AveNew York, NY 10016-6402 · Phone (646) 734-4899

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

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.

PECOS PAC ID7719221456
PECOS Enrollment IDI20181206000390
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.

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.

New Patient
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
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.

80.17/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.76
Improvement Activities40

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.

Radiology (Radiation Oncology)
480 RED HILL RD
MIDDLETOWN, NJ 07748
Physician Assistant (Surgical)
480 RED HILL RD
MIDDLETOWN, NJ 07748
Registered Nurse (Oncology)
480 RED HILL RD
MIDDLETOWN, NJ 07748
Physician Assistant (Surgical)
480 RED HILL RD
MIDDLETOWN, NJ 07748
Radiology (Diagnostic Radiology)
480 RED HILL RD, MEMORIAL SLOAN KETTERING CANCER CENTER
MIDDLETOWN, NJ 07748
Pharmacist
480 RED HILL RD
MIDDLETOWN, NJ 07748
Internal Medicine (Medical Oncology)
480 RED HILL RD
MIDDLETOWN, NJ 07748
Nurse Practitioner (Primary Care)
480 RED HILL RD
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.

When was this NPI record last updated?

The NPPES record for Jessica Domb was last updated on February 16, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.