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
Accepted Insurance
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
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.
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.
What insurance does Dominique Dunn accept?
Health plans from Providence Health Plan list Dominique Dunn as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
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 15 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
- **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.