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DOMINIKA ANNA JEZNACH
NPI 1255200325
Nurse Practitioner - Psychiatric/Mental Health in North Port, FL

Active since November 05, 2025PECOS EnrolledAccepts Medicare Assignment
4942 ARITON RD, NORTH PORT, FL 34288(847) 219-0465 Get Directions Write a Review

NPPES record last updated: November 5, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dominika Anna Jeznach NPPES

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

DOMINIKA ANNA JEZNACH (NPI 1255200325) is an individual psychiatric/mental health provider in North Port, Florida, licensed in Florida (APRN11042948) and active in the NPI registry since November 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1255200325
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameDOMINIKA ANNA JEZNACH
Location Address4942 ARITON RDNorth Port, FL 34288-2374
Mailing Address4942 Ariton RdNorth Port, FL 34288-2374
Phone(847) 219-0465
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateNovember 5, 2025
NPPES CertifiedNovember 5, 2025
✔ NPI 1255200325 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 FL · APRN11042948
4942 ARITON RD, North Port, FL 34288
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and more.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

Dominika Anna Jeznach 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 ID4789170283
PECOS Enrollment IDI20260105002941
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 Reassignment

Medicare enrollment records show Dominika Jeznach reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dr Luisa Vega Dnp LLC
127 mi
Nurse Practitioner
525 TECHNOLOGY PARK STE 109
Lake Mary, FL 32746
  • Reassigned Medicare billing, Florida enrollment
  • 119 clinicians in this Medicare group
NPI 1497123319 (407) 647-2346

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 34288 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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 Dominika Jeznach's NPI number?

The NPI number for Dominika Jeznach is 1255200325. It was assigned to this individual provider in the NPPES registry on November 5, 2025.

Where is Dominika Jeznach located?

Dominika Jeznach practices at 4942 Ariton Rd, North Port, FL 34288. The listed phone number is (847) 219-0465.

What is Dominika Jeznach's specialty?

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

Is Dominika Jeznach enrolled in Medicare?

Yes. Dominika Jeznach 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 organization bills Medicare for Dominika Jeznach's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dominika Jeznach reassigns Medicare benefits to Dr Luisa Vega Dnp LLC (Lake Mary, FL). The 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 Dominika Jeznach's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dominika Jeznach accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida, UnitedHealthcare and Wellpoint list Dominika Jeznach 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 Dominika Jeznach was last updated on November 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.