1. Home
  2. Directory
  3. New York
  4. Bay Shore
  5. Nurse Practitioner
  6. NPI Profile

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

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: November 01, 2026.

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
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

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

North Shore - Lij Medical PC
24 mi
Internal Medicine
270-05 76TH AVE
New Hyde Park, NY 11040
  • Reassigned Medicare billing, New York enrollment
  • 9,353 clinicians in this Medicare group
NPI 1790043479 (516) 465-8089

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 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
301 E MAIN ST
BAY SHORE, NY 11706
Suffolk County (631) 968-3000
JENNA BANNON MS, RD, CDN
Dietitian, Registered
301 E MAIN ST
BAY SHORE, NY 11706
Suffolk County (631) 968-3593
DR. MEHUL PRAGANI MD
Anesthesiology
301 E MAIN ST
BAY SHORE, NY 11706
Suffolk County (631) 968-3000
ANDREA PASSANNANTE OT, OTR/L, CDIS
Occupational Therapist
301 E MAIN ST
BAY SHORE, NY 11706
Suffolk County (631) 968-3400
DR. STEPHEN CONSTANTINE LANDELL DNP, CRNA, RN
Nurse Anesthetist, Certified Registered
301 E MAIN ST
BAY SHORE, NY 11706
Suffolk County (516) 734-7000
PRIYANSHI CHANDIWALA
Physician Assistant (Surgical)
301 E MAIN ST
BAY SHORE, NY 11706
Suffolk County (631) 968-3000
DAVID VAUGHANS DO
Student in an Organized Health Care Education/Training Program
301 E MAIN ST
BAY SHORE, NY 11706
Suffolk County (631) 968-3000
DR. MATTHEW DAVID SCHWARTZ D.O.
Emergency Medicine
301 E MAIN ST
BAY SHORE, NY 11706
Suffolk County (631) 968-3314

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 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.

Where is Alexandra Dominguez located?

Alexandra Dominguez practices at 301 E Main St, Bay Shore, NY 11706. The listed phone number is (631) 968-3525.

What is Alexandra Dominguez's specialty?

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

Is Alexandra Dominguez enrolled in Medicare?

Yes. Alexandra Dominguez is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Alexandra Dominguez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alexandra Dominguez reassigns Medicare benefits to North Shore - Lij Medical PC (New Hyde Park, NY). 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 Alexandra Dominguez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Alexandra Dominguez was last updated on December 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.