MR. CHARLIE DOMINGUEZ FNP
NPI 1154883486
Nurse Practitioner - Family in El Paso, TX

Active since April 04, 2019PECOS EnrolledAccepts Medicare Assignment
91.63/100
CMS Quality Rating
1521 JOE BATTLE BLVD, EL PASO, TX 79936(915) 790-5700 Get Directions Write a Review

NPPES record last updated: March 13, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 13, 2025, Apr 4, 2019 (2 updates tracked since 2019).

About Mr. Charlie Dominguez Fnp NPPES

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

MR. CHARLIE DOMINGUEZ FNP (NPI 1154883486) is an individual family provider in El Paso, Texas, licensed in Texas (AP140823) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with University Medical Center Of El Paso, and maintains a secondary practice location in Las Cruces.

NPPES Registry Identity

NPI1154883486
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. CHARLIE DOMINGUEZCredential: FNP
Location Address1521 JOE BATTLE BLVDEl Paso, TX 79936-0922
Mailing Address1605 El Paseo RdLas Cruces, NM 88001-6010 · (575) 523-5400
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateApril 4, 2019
Last NPPES UpdateMarch 13, 20252 updates tracked since enumeration
NPPES CertifiedMarch 13, 2025
✔ NPI 1154883486 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in TX · AP140823✔ Licensed in NM · 557338
1521 JOE BATTLE BLVD, El Paso, TX 79936

Other Names 1

Professional Name (2)Charlie Dominguez

Secondary Practice Location 1

Location 11605 El Paseo RdLas Cruces, NM 88001-6010 · Phone (575) 523-5400

Accepted Insurance

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

Mr. Charlie Dominguez Fnp 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 ID42543662
PECOS Enrollment IDI20191220000065
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

2

Medicare enrollment records show Charlie Dominguez reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Acute Care Hospital
1416 GEORGE DIETER DR
El Paso, TX 79936
  • Reassigned Medicare billing, Texas enrollment
  • 409 clinicians in this Medicare group
General Practice
10410 VISTA DEL SOL DR
El Paso, TX 79925
  • Reassigned Medicare billing, Texas enrollment
  • 77 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.

University Medical Center Of El Paso

Acute Care Hospitals · El Paso, TX
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450024
Location4815 Alameda AveEl Paso, TX 79905 · El Paso County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79936 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

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.

91.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality94
Promoting Interoperability96
Improvement Activities40
Cost70.28

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Obstetrics & Gynecology
1521 JOE BATTLE BLVD
EL PASO, TX 79936
Nurse Practitioner (Gerontology)
1521 JOE BATTLE BLVD
EL PASO, TX 79936
Nurse Practitioner (Family)
1521 JOE BATTLE BLVD
EL PASO, TX 79936
Nurse Practitioner (Family)
1521 JOE BATTLE BLVD
EL PASO, TX 79936
Internal Medicine (Rheumatology)
1521 JOE BATTLE BLVD
EL PASO, TX 79936
Family Medicine
1521 JOE BATTLE BLVD
EL PASO, TX 79936
Emergency Medicine
1521 JOE BATTLE BLVD, STE. B
EL PASO, TX 79936
Nurse Practitioner (Family)
1521 JOE BATTLE BLVD
EL PASO, TX 79936

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 Charlie Dominguez's NPI number?

The NPI number for Charlie Dominguez is 1154883486. It was assigned to this individual provider in the NPPES registry on April 4, 2019.

Where is Charlie Dominguez located?

Charlie Dominguez practices at 1521 Joe Battle Blvd, El Paso, TX 79936. The listed phone number is (915) 790-5700.

What is Charlie Dominguez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Charlie Dominguez enrolled in Medicare?

Yes. Charlie Dominguez 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 Charlie Dominguez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Charlie Dominguez reassigns Medicare benefits to 2 organizations: El Paso County Hospital District (El Paso, TX) and Umc El Paso Healthcare Inc (El Paso, TX). 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 Charlie Dominguez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Charlie Dominguez accept?

Health plans from Blue Cross and Blue Shield of Texas, Cigna Healthcare and Imperial Insurance Companies, Inc. list Charlie Dominguez 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.

Is Charlie Dominguez affiliated with any hospitals?

According to CMS data, Charlie Dominguez is affiliated with University Medical Center Of El Paso.

When was this NPI record last updated?

The NPPES record for Charlie Dominguez was last updated on March 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.