MARI PATRICIA DOMINGUEZ NP-C
NPI 1265197040
Nurse Practitioner - Psychiatric/Mental Health in La Grande, OR
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 La Grande, Oregon, licensed in Oregon (202111998NP-PP) and active in the NPI registry since November 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in La Grande, and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97850 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 2301 Cove Ave, La Grande, OR 97850. The listed phone number is (541) 962-8800.
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 September 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 days 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.
# Mari Patricia Dominguez, NP-C · NPI 1265197040
Psychiatric/Mental Health physician in La Grande, Oregon. Individual provider, active in the CMS NPPES registry since November 5, 2021.
## Identity
- **NPI:** 1265197040 (Entity type: Individual)
- **Enumerated:** November 5, 2021
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 202111998NP-PP (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 2301 COVE AVE, La Grande, OR 97850-3906
- **Phone:** (541) 962-8800 · **Fax:** (541) 963-5272
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** September 24, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1265197040) · Data from the CMS NPPES public registry.