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JACOB DOMORACKI CRNP
NPI 1245919448
Nurse Practitioner - Acute Care in Erie, PA

Active since July 14, 2023PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: November 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 7, 2023, Jul 14, 2023 (2 updates tracked since 2023).

About Jacob Domoracki Crnp NPPES

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

JACOB DOMORACKI CRNP (NPI 1245919448) is an individual acute care provider in Erie, Pennsylvania, licensed in Pennsylvania (SP028313) and active in the NPI registry since July 2023. He is enrolled in Medicare PECOS, is affiliated with Saint Vincent Hospital, and maintains a secondary practice location in Erie.

NPPES Registry Identity

NPI1245919448
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameJACOB DOMORACKICredential: CRNP
Location Address232 W 25TH STErie, PA 16544-0001
Mailing Address870 Broad StConneaut, OH 44030-1710 · (216) 882-7044
Phone(814) 452-5000
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJuly 14, 2023
Last NPPES UpdateNovember 7, 20232 updates tracked since enumeration
NPPES CertifiedOctober 6, 2023
✔ NPI 1245919448 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in PA · SP028313
Also ListedRegistered Nurse · Critical Care MedicineTaxonomy 163WC0200X · License RN670780 (PA)
232 W 25TH ST, Erie, PA 16544
Open in Google Maps ↗

Secondary Practice Location 1

Location 12315 Myrtle St Ste 190Erie, PA 16502-4604 · Phone (814) 453-7767

Other Identifiers 2

OtherRN670780PA · Registered Nurse License
OtherSP028313PA · Certified Registered Nurse Practitioner - Adult-gerontology Acute Care

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

Jacob Domoracki Crnp 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 ID4284082363
PECOS Enrollment IDI20231130000174
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

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Saint Vincent Hospital

Acute Care Hospitals · Erie, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390009
Location232 West 25th StreetErie, PA 16544 · Erie County
Emergency services Birthing friendly

Warren General Hospital

Acute Care Hospitals · Warren, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390146
LocationTwo Crescent Park WestWarren, PA 16365 · Warren County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16544 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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 20

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

ANESTHESIA CONSULTANTS OF ERIE, INC.
Anesthesiology
232 W 25TH ST
ERIE, PA 16544
Erie County (814) 452-5000
PENN NORTH CENTERS FOR ADVANCED WOUND CARE PC
Surgery
232 W 25TH ST
ERIE, PA 16544
Erie County (814) 452-7878
SAINT VINCENT MEDICAL EDUCATION AND RESEARCH INSTITUTE
Obstetrics & Gynecology
232 W 25TH ST
ERIE, PA 16544
Erie County (814) 452-5000
MS. TERI L. PROPST CRNA
Nurse Anesthetist, Certified Registered
232 W 25TH ST
ERIE, PA 16544
Erie County (814) 452-5000
PATHOLOGY ASSOCIATES OF ERIE INC
Pathology (Clinical Pathology/Laboratory Medicine)
232 W 25TH ST
ERIE, PA 16544
Erie County (814) 288-8325
MARY MCLAUGHLIN
Nurse Anesthetist, Certified Registered
232 W 25TH ST, 7TH FLOOR
ERIE, PA 16544
Erie County (814) 452-5000
DR. TIMOTHY CHESLOCK DO
Emergency Medicine
232 W 25TH ST
ERIE, PA 16544
Erie County (814) 734-1618
MS. TANYA M GORE PHARMD
Pharmacist
232 W 25TH ST
ERIE, PA 16544
Erie County (814) 452-5439

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 Jacob Domoracki's NPI number?

The NPI number for Jacob Domoracki is 1245919448. It was assigned to this individual provider in the NPPES registry on July 14, 2023.

Where is Jacob Domoracki located?

Jacob Domoracki practices at 232 W 25th St, Erie, PA 16544. The listed phone number is (814) 452-5000.

What is Jacob Domoracki's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Jacob Domoracki enrolled in Medicare?

Yes. Jacob Domoracki 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.

Is Jacob Domoracki affiliated with any hospitals?

According to CMS data, Jacob Domoracki is affiliated with Saint Vincent Hospital and Warren General Hospital.

When was this NPI record last updated?

The NPPES record for Jacob Domoracki was last updated on November 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.