JOANNA BETH DOMINICK DNP, PMHNP-BC, FNP-C
NPI 1174788145
Nurse Practitioner - Psychiatric/Mental Health in Durango, CO

Active since July 18, 2008PECOS EnrolledAccepts Medicare Assignment
72 SUTTLE ST, SUITE B, DURANGO, CO 81303(970) 444-2429(630) 647-4726 Get Directions Write a Review

NPPES record last updated: May 8, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 8, 2023, Aug 17, 2021, Oct 2, 2019 and 1 more (4 updates tracked since 2015).

About Joanna Beth Dominick Dnp, Pmhnp-bc, Fnp-c NPPES

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

JOANNA BETH DOMINICK DNP, PMHNP-BC, FNP-C (NPI 1174788145) is an individual psychiatric/mental health provider in Durango, Colorado, licensed in Colorado (APN.005295-NP) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1174788145
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameJOANNA BETH DOMINICKCredential: DNP, PMHNP-BC, FNP-C
Location Address72 SUTTLE ST, SUITE BDurango, CO 81303
Mailing Address72 Suttle St, Suite BDurango, CO 81303 · (970) 444-2429 · Fax (630) 647-4726
Fax(630) 647-4726
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJuly 18, 2008
Last NPPES UpdateMay 8, 20234 updates tracked since enumeration
NPPES CertifiedMay 8, 2023
✔ NPI 1174788145 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in CO · APN.005295-NP✔ Licensed in NM · APN.005295-NP✔ Licensed in CO · 5295
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License APN.005295-NP (CO), APN.005295-NP (NM), 5295 (CO)
72 SUTTLE ST, Durango, CO 81303

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

Joanna Beth Dominick Dnp, Pmhnp-bc, Fnp-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 ID9436205077
PECOS Enrollment IDI20090923000073, I20200114000573
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 Joanna Dominick reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Psychiatric/Mental Health
72 SUTTLE ST STE B
Durango, CO 81303
  • Reassigned Medicare billing, Colorado enrollment
Psychiatric/Mental Health
4801 N BUTLER AVE, STE 1101
Farmington, NM 87401
  • Reassigned Medicare billing, New Mexico enrollment
  • 6 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.

Areas of Expertise CMS Part B claims 3

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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
69 services13 patients
Telehealth originating site facility fee Q3014
The Telehealth originating site facility fee is a charge for the location where you receive your telehealth service, such as a clinic or hospital. It covers costs like equipment use, technical support, and other resources needed to provide a secure, effective telehealth visit.
58 services11 patients
Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
54 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 81303 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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.

Other Providers at the Same Location NPPES 6

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

Massage Therapist
72 SUTTLE ST, STE B
DURANGO, CO 81303
Clinic/Center (Dental)
72 SUTTLE ST, S# E
DURANGO, CO 81303
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
72 SUTTLE ST, STE D
DURANGO, CO 81303
Durable Medical Equipment & Medical Supplies
72 SUTTLE ST, STE H
DURANGO, CO 81303
Nurse Practitioner (Adult Health)
72 SUTTLE ST, SUITE C
DURANGO, CO 81303
Dentist (Oral and Maxillofacial Surgery)
72 SUTTLE ST, S# E
DURANGO, CO 81303

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 Joanna Dominick's NPI number?

The NPI number for Joanna Dominick is 1174788145. It was assigned to this individual provider in the NPPES registry on July 18, 2008.

Where is Joanna Dominick located?

Joanna Dominick practices at 72 Suttle St Suite B, Durango, CO 81303. The listed phone number is (970) 444-2429.

What is Joanna Dominick's specialty?

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

Is Joanna Dominick enrolled in Medicare?

Yes. Joanna Dominick 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 Joanna Dominick's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joanna Dominick reassigns Medicare benefits to 2 organizations: Dominick All-Heart Wellness Center (Durango, CO) and San Juan Health And Wellness Center (Farmington, NM). 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 Joanna Dominick's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Joanna Dominick was last updated on May 8, 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.