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DOMINIQUE PELOTE APN
NPI 1154009678
Nurse Practitioner - Psychiatric/Mental Health in Marlton, NJ

Active since July 05, 2023PECOS Enrolled
286 HAWTHORNE ST, MARLTON, NJ 08053(917) 204-2763 Get Directions Write a Review

NPPES record last updated: July 5, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dominique Pelote Apn NPPES

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

DOMINIQUE PELOTE APN (NPI 1154009678) is an individual psychiatric/mental health provider in Marlton, New Jersey, licensed in New Jersey (26NJ14854900) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS and is a graduate of Rutgers New Jersey Medical School (2022).

NPPES Registry Identity

NPI1154009678
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameDOMINIQUE PELOTECredential: APN
Location Address286 HAWTHORNE STMarlton, NJ 08053-2013
Mailing Address286 Hawthorne StMarlton, NJ 08053-2013 · (917) 204-2763
Phone(917) 204-2763
Sole ProprietorYes
Medical School CMSRutgers New Jersey Medical SchoolGraduated 2022
Enumeration DateJuly 5, 2023
NPPES CertifiedJuly 5, 2023
✔ NPI 1154009678 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NJ · 26NJ14854900
286 HAWTHORNE ST, Marlton, NJ 08053
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dominique Pelote Apn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8123562311
PECOS Enrollment IDI20240628001255
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08053 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
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
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 Pelote's NPI number?

The NPI number for Dominique Pelote is 1154009678. It was assigned to this individual provider in the NPPES registry on July 5, 2023.

Where is Dominique Pelote located?

Dominique Pelote practices at 286 Hawthorne St, Marlton, NJ 08053. The listed phone number is (917) 204-2763.

What is Dominique Pelote's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Dominique Pelote enrolled in Medicare?

Yes. Dominique Pelote is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Dominique Pelote was last updated on July 5, 2023. 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.