DOMINIQUE CAPORUSSO PA-C
NPI 1225697329
Physician Assistant - Medical in Erlanger, KY

Q: What is Dominique Caporusso's NPI number?

The NPI number for Dominique Caporusso is 1225697329. It was assigned to this individual provider in the NPPES registry on June 12, 2019. The provider is also known as Dominique Wade.

Q: What is Dominique Caporusso's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Active since June 12, 2019PECOS EnrolledAccepts Medicare Assignment

650 SPRUCEWOOD LN, ERLANGER, KY 41018(859) 282-6600 Get Directions Write a Review

NPPES record last updated: January 17, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 17, 2022, Aug 6, 2019, Jun 12, 2019 (3 updates tracked since 2019).

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About Dominique Caporusso Pa-c NPPES

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

DOMINIQUE CAPORUSSO PA-C (NPI 1225697329) is an individual medical provider in Erlanger, Kentucky, licensed in Kentucky (TC835) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1225697329

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameDOMINIQUE CAPORUSSOCredential: PA-C

Location Address650 SPRUCEWOOD LNErlanger, KY 41018-1062

Mailing Address22 Casagrande StFort Thomas, KY 41075-4023 · (859) 512-7050

Phone(859) 282-6600

Sole ProprietorYes

Medical School CMSOtherGraduated 2019

Enumeration DateJune 12, 2019

Last NPPES UpdateJanuary 17, 20223 updates tracked since enumeration

NPPES CertifiedJanuary 17, 2022

✔ NPI 1225697329 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in KY · TC835

650 SPRUCEWOOD LN, Erlanger, KY 41018

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Other Names 1

Former Name (1)Dominique Wade

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dominique Caporusso Pa-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 ID6103157938

PECOS Enrollment IDI20191212001389

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.

Areas of Expertise CMS Part B claims 6

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

253 services93 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

160 services53 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

76 services39 patients

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

72 services25 patients

Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439

Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.

50 services18 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

40 services24 patients

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Other Providers at the Same Location NPPES 5

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

BRITTANY N STEPHENS FNP-BC

Nurse Practitioner (Family)