DOMINIQUE ELYCIA STURDIVANT RN
NPI 1144952193
Nurse Anesthetist, Certified Registered in Bethlehem, PA
About Dominique Elycia Sturdivant Rn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DOMINIQUE ELYCIA STURDIVANT RN (NPI 1144952193) is an individual nurse anesthetist, certified registered in Bethlehem, Pennsylvania, licensed in Pennsylvania (RN660911) and active in the NPI registry since June 2022. She is affiliated with Lehigh Valley Hospital and is a graduate of Other (2022).
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 Elycia Sturdivant Rn 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
3Medicare enrollment records show Dominique Sturdivant reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Fountain Hill, PA 18015
- Reassigned Medicare billing, Pennsylvania enrollment
- 2,895 clinicians in this Medicare group
Allentown, PA 18103
- Reassigned Medicare billing, Pennsylvania enrollment
- 256 clinicians in this Medicare group
Chadds Ford, PA 19317
- Reassigned Medicare billing, Pennsylvania enrollment
- 251 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Lehigh Valley Hospital
Acute Care Hospitals · Allentown, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 18015 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
BETHLEHEM, PA 18015
BETHLEHEM, PA 18015
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 Sturdivant's NPI number?
The NPI number for Dominique Sturdivant is 1144952193. It was assigned to this individual provider in the NPPES registry on June 28, 2022.
Where is Dominique Sturdivant located?
Dominique Sturdivant practices at 801 Ostrum St, Bethlehem, PA 18015. The listed phone number is (484) 426-8000.
What is Dominique Sturdivant's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Dominique Sturdivant enrolled in Medicare?
Yes. Dominique Sturdivant 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 Sturdivant's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Dominique Sturdivant reassigns Medicare benefits to 3 organizations: Lehigh Valley Physician Group (Fountain Hill, PA), Lehigh Valley Anesthesia Services, P. C. (Allentown, PA) and Associates In Anesthesia, Inc. (Chadds Ford, PA). 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 Sturdivant's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Dominique Sturdivant affiliated with any hospitals?
According to CMS data, Dominique Sturdivant is affiliated with Lehigh Valley Hospital.
When was this NPI record last updated?
The NPPES record for Dominique Sturdivant was last updated on November 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Dominique Elycia Sturdivant, RN · NPI 1144952193
Nurse Anesthetist, Certified Registered physician in Bethlehem, Pennsylvania. Individual provider, active in the CMS NPPES registry since June 28, 2022.
## Identity
- **NPI:** 1144952193 (Entity type: Individual)
- **Enumerated:** June 28, 2022
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** RN660911 (Pennsylvania)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 801 OSTRUM ST, Bethlehem, PA 18015-1000
- **Phone:** (484) 426-8000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Lehigh Valley Physician Group (NPI 1265676951, Fountain Hill, PA); Lehigh Valley Anesthesia Services, P. C. (NPI 1730174731, Allentown, PA); Associates In Anesthesia, Inc. (NPI 1942281191, Chadds Ford, PA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** November 25, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1144952193) · Data from the CMS NPPES public registry.