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MARI PATRICIA DOMINGUEZ NP-C
NPI 1265197040
Nurse Practitioner - Psychiatric/Mental Health in Baker City, OR

Active since November 05, 2021PECOS EnrolledAccepts Medicare Assignment
3425 13TH ST, BAKER CITY, OR 97814(541) 523-7400(541) 523-4927 Get Directions Write a Review

NPPES record last updated: July 16, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Mari Patricia Dominguez Np-c NPPES

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

MARI PATRICIA DOMINGUEZ NP-C (NPI 1265197040) is an individual psychiatric/mental health provider in Baker City, Oregon, licensed in Oregon (202111998NP-PP) and active in the NPI registry since November 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1265197040
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMARI PATRICIA DOMINGUEZCredential: NP-C
Location Address3425 13TH STBaker City, OR 97814-1340
Mailing Address3425 13th StBaker City, OR 97814-1340 · (541) 523-7400 · Fax (541) 523-4927
Phone(541) 523-7400
Fax(541) 523-4927
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateNovember 5, 2021
Last NPPES UpdateJuly 16, 2025
NPPES CertifiedJuly 16, 2025
✔ NPI 1265197040 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 OR · 202111998NP-PP
3425 13TH ST, Baker City, OR 97814
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and more.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

Mari Patricia Dominguez Np-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 ID5991713307
PECOS Enrollment IDI20211213002520
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97814 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
$84.82 typical visit price
range $54.96 – $166.64
Typical copayment $21.20 (range $13.74 – $41.66)
Most-billed visit code 99203
Established Patient
$97.16 typical visit price
range $17.68 – $136.19
Typical copayment $24.29 (range $4.42 – $34.04)
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.

COLLEEN BETTILYEN DAVENPORT PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
3425 13TH ST
BAKER CITY, OR 97814
Baker County (541) 523-7400
DIANE EILEEN WROE
Case Manager/Care Coordinator
3425 13TH ST
BAKER CITY, OR 97814
Baker County (541) 523-7400
KATIE ELIZABETH LEAL
Counselor (Addiction (Substance Use Disorder))
3425 13TH ST
BAKER CITY, OR 97814
Baker County (541) 523-7400
COURTNEY ANN HAYS
Case Manager/Care Coordinator
3425 13TH ST
BAKER CITY, OR 97814
Baker County (541) 523-7400
PETER SKYE FARNAM
Counselor (Mental Health)
3425 13TH ST
BAKER CITY, OR 97814
Baker County (541) 523-7400
MS. KIMBERLY ANN HAM
Counselor (Addiction (Substance Use Disorder))
3425 13TH ST
BAKER CITY, OR 97814
Baker County (541) 523-7400
CAROL LEE YOUNG
Case Manager/Care Coordinator
3425 13TH ST
BAKER CITY, OR 97814
Baker County (541) 523-7400
CHARLES JUDSON KEYS
Case Manager/Care Coordinator
3425 13TH ST
BAKER CITY, OR 97814
Baker County (541) 523-7400

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 Mari Dominguez's NPI number?

The NPI number for Mari Dominguez is 1265197040. It was assigned to this individual provider in the NPPES registry on November 5, 2021.

Where is Mari Dominguez located?

Mari Dominguez practices at 3425 13th St, Baker City, OR 97814. The listed phone number is (541) 523-7400.

What is Mari Dominguez's specialty?

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

Is Mari Dominguez enrolled in Medicare?

Yes. Mari 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.

What insurance does Mari Dominguez accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Mari 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.

When was this NPI record last updated?

The NPPES record for Mari Dominguez was last updated on July 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.