MRS. VENITA DOMINGUEZ FNP
NPI 1295511137
Nurse Practitioner - Family in Chicago, IL

Q: What is Venita Dominguez's NPI number?

The NPI number for Venita Dominguez is 1295511137. It was assigned to this individual provider in the NPPES registry on September 6, 2023.

Q: What is Venita Dominguez's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Venita Dominguez was last updated on November 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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, 2023PECOS EnrolledAccepts Medicare Assignment

1500 S FAIRFIELD AVE, CHICAGO, IL 60608(773) 879-6014 Get Directions Write a Review

NPPES record last updated: November 1, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 1, 2023, Sep 6, 2023 (2 updates tracked since 2023).

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About Mrs. Venita Dominguez Fnp NPPES

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

MRS. VENITA DOMINGUEZ FNP (NPI 1295511137) is an individual family provider in Chicago, Illinois, licensed in Illinois (209027684) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS, is affiliated with Northshore University Healthsystem - Evanston Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1295511137

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. VENITA DOMINGUEZCredential: FNP

Location Address1500 S FAIRFIELD AVEChicago, IL 60608-1782

Mailing Address1500 S Fairfield AveChicago, IL 60608-1782

Phone(773) 879-6014

Sole ProprietorYes

Medical School CMSOtherGraduated 2016

Enumeration DateSeptember 6, 2023

Last NPPES UpdateNovember 1, 20232 updates tracked since enumeration

NPPES CertifiedOctober 31, 2023

✔ NPI 1295511137 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 IL · 209027684

1500 S FAIRFIELD AVE, Chicago, IL 60608

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Accepted Insurance

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

Mrs. Venita Dominguez 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 ID42668030

PECOS Enrollment IDI20231201000704

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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northshore University Healthsystem - Evanston Hospital

Acute Care Hospitals · Evanston, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number140010

Location2650 Ridge AveEvanston, IL 60201 · Cook County

Emergency services Birthing friendly

Mt Sinai Hospital Medical Center

Acute Care Hospitals · Chicago, IL

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140018

Location1500 S Fairfield AveChicago, IL 60608 · Cook County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60608 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

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

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.

AUDREY SHAE WHITNAH

Pharmacist