DOMINIQUE DUNN
NPI 1124589163
Nurse Practitioner - Psychiatric/Mental Health in Los Angeles, CA
About Dominique Dunn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DOMINIQUE DUNN (NPI 1124589163) is an individual psychiatric/mental health provider in Los Angeles, California, licensed in California (95011512) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses 2
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
Dominique Dunn 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 Reassignments
8Medicare enrollment records show Dominique Dunn reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Los Angeles, CA 90071
- Reassigned Medicare billing, California enrollment
Los Angeles, CA 90048
- Reassigned Medicare billing, California enrollment
- 13 clinicians in this Medicare group
West Hollywood, CA 90046
- Reassigned Medicare billing, California enrollment
- 204 clinicians in this Medicare group
Burbank, CA 91506
- Reassigned Medicare billing, California enrollment
- 2 clinicians in this Medicare group
Burbank, CA 91505
- Reassigned Medicare billing, California enrollment
- 236 clinicians in this Medicare group
Irvine, CA 92604
- Reassigned Medicare billing, California enrollment
- 212 clinicians in this Medicare group
Riverside, CA 92506
- Reassigned Medicare billing, California enrollment
- 40 clinicians in this Medicare group
El Cajon, CA 92020
- Reassigned Medicare billing, California enrollment
- 212 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 90012 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.
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 Dominique Dunn's NPI number?
The NPI number for Dominique Dunn is 1124589163. It was assigned to this individual provider in the NPPES registry on March 30, 2019.
Where is Dominique Dunn located?
Dominique Dunn practices at 639 N Broadway Apt 313, Los Angeles, CA 90012. The listed phone number is (614) 648-4680.
What is Dominique Dunn's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Dominique Dunn enrolled in Medicare?
Yes. Dominique Dunn 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 Dominique Dunn's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Dominique Dunn reassigns Medicare benefits to 8 organizations: Tyd Provider Services (Los Angeles, CA), Pagiel Shechter MD. Inc (Los Angeles, CA), Mellow Medical Inc A Professional Corporation (West Hollywood, CA), Medxcel Group (Burbank, CA), Minuteclinic Diagnostic Medical Group Of California Inc (Burbank, CA) and 3 more organizations, listed in the Medicare section above. 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 Dominique Dunn'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 Dominique Dunn was last updated on May 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.
# Dominique Dunn · NPI 1124589163
Psychiatric/Mental Health physician in Los Angeles, California. Individual provider, active in the CMS NPPES registry since March 30, 2019.
## Identity
- **NPI:** 1124589163 (Entity type: Individual)
- **Enumerated:** March 30, 2019
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 95011512 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 639 N BROADWAY APT 313, Los Angeles, CA 90012-4508
- **Phone:** (614) 648-4680
## 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:** 8 organizations under Medicare reassignment (form CMS-855R): Tyd Provider Services (NPI 1215729868, Los Angeles, CA); Pagiel Shechter MD. Inc (NPI 1760434880, Los Angeles, CA); Mellow Medical Inc A Professional Corporation (NPI 1407275886, West Hollywood, CA); Medxcel Group (NPI 1891589503, Burbank, CA); Minuteclinic Diagnostic Medical Group Of California Inc (NPI 1033309372, Burbank, CA); and 3 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** May 9, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1124589163) · Data from the CMS NPPES public registry.