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SARAH E DOMINIQUE APN CDE
NPI 1114348620
Clinical Nurse Specialist - Pediatrics in Peoria, IL

Active since December 31, 2013PECOS Enrolled
530 NE GLEN OAK AVE, PEORIA, IL 61637(309) 624-2480 Get Directions Write a Review

NPPES record last updated: December 21, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sarah E Dominique Apn Cde NPPES

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

SARAH E DOMINIQUE APN CDE (NPI 1114348620) is an individual pediatrics provider in Peoria, Illinois, licensed in Illinois (209010901) and active in the NPI registry since December 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114348620
Entity TypeIndividualFemale
Primary Taxonomy364SP0200X
Provider Legal NameSARAH E DOMINIQUECredential: APN CDE
Location Address530 NE GLEN OAK AVEPeoria, IL 61637-0001
Mailing Address1400 Flossmoor AveWashington, IL 61571-1108
Phone(309) 624-2480
Sole ProprietorNo
Enumeration DateDecember 31, 2013
Last NPPES UpdateDecember 21, 2017
✔ NPI 1114348620 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Nurse Specialist · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364SP0200X
License✔ Licensed in IL · 209010901
530 NE GLEN OAK AVE, Peoria, IL 61637
Open in Google Maps ↗

Other Names 1

Former Name (1)Sarah E Allen

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sarah E Dominique Apn Cde is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 61637 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
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

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. DEEPAK S NAIR M.D.
Psychiatry & Neurology (Neurology)
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-2000
DR. HAMID MAHMOOD ZIA M.D
Pathology (Anatomic Pathology & Clinical Pathology)
530 NE GLEN OAK AVE, CENTRAL ILLINOIS PATHOLOGY SC
PEORIA, IL 61637
Peoria County (309) 624-9011
THOMAS JAMES MCMORROW MD
Pediatrics
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-2553
ERIC TYLER AMPARAN MD
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-2274
ALEXANDRA ROPER MD
Surgery
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-2000
JAPMEHR KAUR SANDHU M.B.B.S.
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 624-9351
THOMAS BLACKWELL JR. MD
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-2000
LUKE KLOFT
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-2109

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 Sarah Dominique's NPI number?

The NPI number for Sarah Dominique is 1114348620. It was assigned to this individual provider in the NPPES registry on December 31, 2013. The provider is also known as Sarah E Allen.

Where is Sarah Dominique located?

Sarah Dominique practices at 530 NE Glen Oak Ave, Peoria, IL 61637. The listed phone number is (309) 624-2480.

What is Sarah Dominique's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Pediatrics, with taxonomy code 364SP0200X.

Is Sarah Dominique enrolled in Medicare?

Yes. Sarah Dominique is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sarah Dominique was last updated on December 21, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.