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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: October 18, 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
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

3

Medicare enrollment records show Dominique Pelote reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mind Your Mind
26 mi
Mental Health (Including Community Mental Health Center)
2083 KLOCKNER RD
Hamilton, NJ 08690
  • Reassigned Medicare billing, New Jersey enrollment
  • 33 clinicians in this Medicare group
NPI 1053955096 (732) 580-9096
Thrive Counseling LLC
284 mi
Mental Health
1000 JEFFERSON ST STE 2C
Lynchburg, VA 24504
  • Reassigned Medicare billing, New Jersey enrollment
  • 138 clinicians in this Medicare group
NPI 1215181300 (855) 284-7483
Moonshot Psychiatric Nurse Practitioner PC
2,392 mi
Psychiatric/Mental Health
4803 FREMONT AVE N
Seattle, WA 98103
  • Reassigned Medicare billing, New Jersey enrollment
  • 36 clinicians in this Medicare group
NPI 1669158879 (855) 444-7258

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 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.

Which organizations bill Medicare for Dominique Pelote's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dominique Pelote reassigns Medicare benefits to 3 organizations: Mind Your Mind (Hamilton, NJ), Thrive Counseling LLC (Lynchburg, VA) and Moonshot Psychiatric Nurse Practitioner PC (Seattle, WA). 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 Pelote's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dominique Pelote accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Dominique Pelote 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 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.