ALEXANDRA DOMINGUEZ FNP-BC
NPI 1265397392
Nurse Practitioner - Family in Bay Shore, NY

Q: What is Alexandra Dominguez's NPI number?

The NPI number for Alexandra Dominguez is 1265397392. It was assigned to this individual provider in the NPPES registry on December 20, 2025.

Q: What is Alexandra Dominguez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since December 20, 2025PECOS Enrolled

301 E MAIN ST, BAY SHORE, NY 11706(631) 968-3525 Get Directions Write a Review

NPPES record last updated: December 20, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Alexandra Dominguez Fnp-bc NPPES

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

ALEXANDRA DOMINGUEZ FNP-BC (NPI 1265397392) is an individual family provider in Bay Shore, New York, licensed in New York (F353420-01) and active in the NPI registry since December 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1265397392

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameALEXANDRA DOMINGUEZCredential: FNP-BC

Location Address301 E MAIN STBay Shore, NY 11706-8408

Mailing Address301 E Main StBay Shore, NY 11706-8408 · (631) 968-3525

Phone(631) 968-3525

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateDecember 20, 2025

NPPES CertifiedDecember 20, 2025

✔ NPI 1265397392 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in NY · F353420-01

301 E MAIN ST, Bay Shore, NY 11706

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alexandra Dominguez Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9436626835

PECOS Enrollment IDI20260422003461

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 11706 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

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

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.

DR. EHAB SABRY HANNA M.D.

Hospitalist