KATHY L DOMIANO FNP
NPI 1265627970
Nurse Practitioner - Primary Care in Ava, MO

Q: 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.

Q: What is Kathy Domiano's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Q: 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.

Active since September 06, 2007PECOS EnrolledAccepts Medicare Assignment

504 NW 10TH AVE, AVA, MO 65608(417) 683-4831(417) 683-1602 Get Directions Write a Review

NPPES record last updated: March 6, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

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

NPI1265627970

Entity TypeIndividualFemale

Primary Taxonomy363LP2300X

Provider Legal NameKATHY L DOMIANOCredential: FNP

Location Address504 NW 10TH AVEAva, MO 65608

Mailing Address504 Nw 10th Ave, Po Box 1359Ava, MO 65608 · (417) 683-4831 · Fax (417) 683-1602

Phone(417) 683-4831

Fax(417) 683-1602

Sole ProprietorNo

Medical School CMSOtherGraduated 2006

Enumeration DateSeptember 6, 2007

Last NPPES UpdateMarch 6, 2008

✔ NPI 1265627970 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LP2300X

License✔ Licensed in MO · 154500

504 NW 10TH AVE, Ava, MO 65608

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower 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

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.

PECOS PAC ID9335238633

PECOS Enrollment IDI20071210000533

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.

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.

Cholesterol level 82465

A cholesterol level test is a blood test that helps evaluate your risk of heart disease. It measures the amount of different types of cholesterol in your blood, including "good" (HDL) and "bad" (LDL) cholesterol. High cholesterol can lead to blockages in your blood vessels, so regular testing is important for maintaining heart health.

16 services15 patients

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

15 services11 patients

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, MO

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260040

Location3801 South National AvenueSpringfield, MO 65807 · Greene County

Emergency services Birthing friendly

Physician 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.

New Patient

$81.64 typical visit price

range $52.28 – $161.24

Typical copayment $20.41 (range $13.07 – $40.31)

Most-billed visit code 99203

Established Patient

$93.24 typical visit price

range $16.30 – $131.05

Typical copayment $23.31 (range $4.07 – $32.76)

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.

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

5 suppliers39 claims96 services$5.16 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

3 suppliers14 claims19 services$0.77 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier12 claims12 services$17.71 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

1 supplier12 claims12 services$844.46 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

3 suppliers51 claims55 services$109.93 avg. paid by Medicare

Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms J7605

DME-Drugs Administered Through DME · category DG006N

2 suppliers13 claims780 services$4.49 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

JERRIANN COXSON CFNP

Nurse Practitioner

504 NW 10TH AVE
AVA, MO 65608

Douglas County (417) 683-4831

BRIAN THOMAS LENIHAN PA-C

Physician Assistant

504 NW 10TH AVE
AVA, MO 65608

Douglas County (417) 683-4831

SYBIL ANN FORTNER DDS

Dentist (General Practice)

504 NW 10TH AVE
AVA, MO 65608

Douglas County (417) 683-4831

MS. TERESA LYNN SHERARD M.D.

General Practice

504 NW 10TH AVE
AVA, MO 65608

Douglas County (417) 683-5739

DOUGLAS COUNTY PUBLIC HEALTH SERVICES GROUP, INC.

Clinic/Center (Federally Qualified Health Center (FQHC))

504 NW 10TH AVE
AVA, MO 65608

Douglas County (417) 683-4831

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.

What insurance does Kathy Domiano accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 6 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.