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DOMINIQUE NICOLE VAUGHN AGNP-C
NPI 1124884895
Nurse Practitioner - Gerontology in Cordova, TN

Active since February 21, 2024PECOS EnrolledAccepts Medicare Assignment
682 WOODLAND FOX LN W, CORDOVA, TN 38018(901) 436-0542 Get Directions Write a Review

NPPES record last updated: May 12, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 12, 2025, May 10, 2025, Feb 17, 2025 (3 updates tracked since 2025).

About Dominique Nicole Vaughn Agnp-c NPPES

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

DOMINIQUE NICOLE VAUGHN AGNP-C (NPI 1124884895) is an individual gerontology provider in Cordova, Tennessee, licensed in Tennessee (35863) and active in the NPI registry since February 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1124884895
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameDOMINIQUE NICOLE VAUGHNCredential: AGNP-C
Location Address682 WOODLAND FOX LN WCordova, TN 38018-1147
Mailing Address682 Woodland Fox Ln WCordova, TN 38018-1147
Phone(901) 436-0542
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateFebruary 21, 2024
Last NPPES UpdateMay 12, 20253 updates tracked since enumeration
NPPES CertifiedMay 12, 2025
✔ NPI 1124884895 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in TN · 35863
682 WOODLAND FOX LN W, Cordova, TN 38018
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee.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 Nicole Vaughn Agnp-c 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 ID5991141939
PECOS Enrollment IDI20240312003263
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 straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
34 services19 patients
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38018 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

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 Vaughn's NPI number?

The NPI number for Dominique Vaughn is 1124884895. It was assigned to this individual provider in the NPPES registry on February 21, 2024.

Where is Dominique Vaughn located?

Dominique Vaughn practices at 682 Woodland Fox Ln W, Cordova, TN 38018. The listed phone number is (901) 436-0542.

What is Dominique Vaughn's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Dominique Vaughn enrolled in Medicare?

Yes. Dominique Vaughn 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 Vaughn accept?

Health plans from BlueCross BlueShield of Tennessee list Dominique Vaughn 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 Vaughn was last updated on May 12, 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.