MRS. PATRICIA ROSE DOMINGUEZ NP - NPI 1275252595 - Nurse Practitioner in Stanley, NC

Q: What is Patricia Dominguez's NPI number?

The NPI number for Patricia Dominguez is 1275252595. It was assigned to this individual provider in the NPPES registry on August 22, 2022.

Q: What is Patricia Dominguez's specialty?

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

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About Mrs. Patricia Rose Dominguez Np NPPES

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

MRS. PATRICIA ROSE DOMINGUEZ NP (NPI 1275252595) is an individual family provider in Stanley, North Carolina, licensed in North Carolina (5016739) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1275252595

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. PATRICIA ROSE DOMINGUEZCredential: NP

Location Address442 S HIGHWAY 27Stanley, NC 28164-2055

Mailing Address442 S Highway 27Stanley, NC 28164-2055

Phone(866) 389-2727

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateAugust 22, 2022

Last NPPES UpdateDecember 21, 20254 updates tracked since enumeration

NPPES CertifiedDecember 21, 2025

✔ NPI 1275252595 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 NC · 5016739

442 S HIGHWAY 27, Stanley, NC 28164

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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 and accepts Medicare assignment

Mrs. Patricia Rose Dominguez Np 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 ID1658747217

PECOS Enrollment IDI20221021002583

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 28164 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. RAVON LAMONT MCKOY FNP

Nurse Practitioner (Family)