KIMBERLY MARIE DOMALEWICZ FNP-BC
NPI 1114449030
Nurse Practitioner - Family in Troy, NY

Q: What is Kimberly Domalewicz's NPI number?

The NPI number for Kimberly Domalewicz is 1114449030. It was assigned to this individual provider in the NPPES registry on July 12, 2017.

Q: What is Kimberly Domalewicz's specialty?

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

Active since July 12, 2017PECOS EnrolledAccepts Medicare Assignment

2231 BURDETT AVE STE 110, TROY, NY 12180(518) 271-3900(518) 271-3914 Get Directions Write a Review

NPPES record last updated: June 29, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 26, 2022, Jul 12, 2017 (2 updates tracked since 2017).

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About Kimberly Marie Domalewicz Fnp-bc NPPES

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

KIMBERLY MARIE DOMALEWICZ FNP-BC (NPI 1114449030) is an individual family provider in Troy, New York, licensed in New York (341343) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS, is affiliated with Samaritan Hospital Of Troy, New York, and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1114449030

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKIMBERLY MARIE DOMALEWICZCredential: FNP-BC

Location Address2231 BURDETT AVE STE 110Troy, NY 12180-2447

Mailing AddressPo Box 14890Albany, NY 12212-4890 · (518) 525-5634

Phone(518) 271-3900

Fax(518) 271-3914

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateJuly 12, 2017

Last NPPES UpdateJune 29, 20222 updates tracked since enumeration

NPPES CertifiedJune 29, 2022

✔ NPI 1114449030 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

License✔ Licensed in NY · 341343

Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License 341343 (NY)

2231 BURDETT AVE STE 110, Troy, NY 12180

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Secondary Practice Locations 5

Location 12 Empire Dr Ste 101Rensselaer, NY 12144-5730 · Phone (518) 373-4555 · Fax (518) 286-4974

Location 22231 Burdett Ave Ste 160Troy, NY 12180-2453 · Phone (518) 326-1620 · Fax (518) 326-1622

Location 3855 Route 146Clifton Park, NY 12065-3885 · Phone (518) 373-4555 · Fax (518) 371-3839

Location 42215 Burdett AveTroy, NY 12180-2466 · Phone (518) 271-3900 · Fax (518) 271-3914

Location 5713 Troy Schenectady Rd Ste 304Latham, NY 12110-2490 · Phone (518) 786-6270 · Fax (518) 786-6276

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

Kimberly Marie Domalewicz Fnp-bc 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 ID42622185

PECOS Enrollment IDI20201215001834

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.

Areas of Expertise CMS Part B claims 2

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 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.

20 services16 patients

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101

This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.

17 services17 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Samaritan Hospital Of Troy, New York

Acute Care Hospitals · Troy, NY

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330180

Location2215 Burdett AvenueTroy, NY 12180 · Rensselaer County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12180 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

$84.93 typical visit price

range $54.87 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.08 typical visit price

range $17.54 – $136.14

Typical copayment $24.27 (range $4.38 – $34.03)

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 4

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

DR. ERIC SIEGEL MD

Obstetrics & Gynecology

2231 BURDETT AVE STE 110
TROY, NY 12180

Rensselaer County (518) 271-3900

LINDSEY NICOLE GREENOUGH FNP

Nurse Practitioner (Family)

2231 BURDETT AVE STE 110
TROY, NY 12180

Rensselaer County (518) 271-3900

KIKI BOURNEUF CNM

Midwife

2231 BURDETT AVE STE 110
TROY, NY 12180

Rensselaer County (518) 271-3900

LAWRENCE J PARSLEY JR. MD

Obstetrics & Gynecology

2231 BURDETT AVE STE 110
TROY, NY 12180

Rensselaer County (518) 271-3900

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 Kimberly Domalewicz's NPI number?

The NPI number for Kimberly Domalewicz is 1114449030. It was assigned to this individual provider in the NPPES registry on July 12, 2017.

Where is Kimberly Domalewicz located?

Kimberly Domalewicz practices at 2231 Burdett Ave Ste 110, Troy, NY 12180. The listed phone number is (518) 271-3900.

What is Kimberly Domalewicz's specialty?

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

Is Kimberly Domalewicz enrolled in Medicare?

Yes. Kimberly Domalewicz 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.

Is Kimberly Domalewicz affiliated with any hospitals?

According to CMS data, Kimberly Domalewicz is affiliated with Samaritan Hospital Of Troy, New York.

When was this NPI record last updated?

The NPPES record for Kimberly Domalewicz was last updated on June 29, 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.