KATHY L DOMIANO FNP
NPI 1265627970
Nurse Practitioner - Primary Care in Ava, MO
About Kathy L Domiano Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATHY L DOMIANO FNP (NPI 1265627970) is an individual primary care provider in Ava, Missouri, licensed in Missouri (154500) and active in the NPI registry since September 2007. She is enrolled in Medicare PECOS, is affiliated with Cox Medical Centers, and is a graduate of Other (2006).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Kathy L Domiano Fnp 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.
Medicare Billing Reassignment
Medicare enrollment records show Kathy Domiano reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Ava, MO 65608
- Reassigned Medicare billing, Missouri enrollment
- 32 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Cox Medical Centers
Acute Care Hospitals · Springfield, MOPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 65608 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 9
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
AVA, MO 65608
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 Kathy Domiano's NPI number?
The NPI number for Kathy Domiano is 1265627970. It was assigned to this individual provider in the NPPES registry on September 6, 2007.
Where is Kathy Domiano located?
Kathy Domiano practices at 504 NW 10th Ave, Ava, MO 65608. The listed phone number is (417) 683-4831.
What is Kathy Domiano's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Kathy Domiano enrolled in Medicare?
Yes. Kathy Domiano 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 Kathy Domiano's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kathy Domiano reassigns Medicare benefits to Douglas County Public Health Services Group, Inc. (Ava, MO). 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 Kathy Domiano's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kathy Domiano accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 4 other insurers list Kathy Domiano 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.
Is Kathy Domiano affiliated with any hospitals?
According to CMS data, Kathy Domiano is affiliated with Cox Medical Centers.
When was this NPI record last updated?
The NPPES record for Kathy Domiano was last updated on March 6, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.
# Kathy L Domiano, FNP · NPI 1265627970
Primary Care physician in Ava, Missouri. Individual provider, active in the CMS NPPES registry since September 6, 2007.
## Identity
- **NPI:** 1265627970 (Entity type: Individual)
- **Enumerated:** September 6, 2007
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **State license:** 154500 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 504 NW 10TH AVE, Ava, MO 65608
- **Phone:** (417) 683-4831 · **Fax:** (417) 683-1602
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Douglas County Public Health Services Group, Inc. (NPI 1972812592, Ava, MO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2006
## Record status
- **NPPES last updated:** March 6, 2008
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Source: [NPI Profile](https://npiprofile.com/npi/1265627970) · Data from the CMS NPPES public registry.