1. Home
  2. Directory
  3. New York
  4. Orchard Park
  5. Nurse Practitioner
  6. NPI Profile

DOMINIQUE NIKOL RODRIGUEZ PMHNP-BC
NPI 1306610282
Nurse Practitioner - Psychiatric/Mental Health in Orchard Park, NY

Active since November 10, 2023PECOS EnrolledAccepts Medicare Assignment
3345 SOUTHWESTERN BLVD STE 100, ORCHARD PARK, NY 14127(716) 662-6802 Get Directions Write a Review

NPPES record last updated: February 20, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dominique Nikol Rodriguez Pmhnp-bc NPPES

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

DOMINIQUE NIKOL RODRIGUEZ PMHNP-BC (NPI 1306610282) is an individual psychiatric/mental health provider in Orchard Park, New York, licensed in New York (404424) and active in the NPI registry since November 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1306610282
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameDOMINIQUE NIKOL RODRIGUEZCredential: PMHNP-BC
Location Address3345 SOUTHWESTERN BLVD STE 100Orchard Park, NY 14127-1506
Mailing Address55 Dodge RdGetzville, NY 14068-1205 · (716) 831-2700
Phone(716) 662-6802
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateNovember 10, 2023
Last NPPES UpdateFebruary 20, 2024
NPPES CertifiedFebruary 20, 2024
✔ NPI 1306610282 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NY · 404424
3345 SOUTHWESTERN BLVD STE 100, Orchard Park, NY 14127
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 and accepts Medicare assignment

Dominique Nikol Rodriguez Pmhnp-bc 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 ID5698112209
PECOS Enrollment IDI20240319001093
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 Dominique Rodriguez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Horizon Health Services Inc
16 mi
Community/Behavioral Health
55 DODGE RD
Getzville, NY 14068
  • Reassigned Medicare billing, New York enrollment
  • 170 clinicians in this Medicare group
NPI 1043387152 (716) 831-2700

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 14127 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

ALLISON NICOLE MYSZKA
Counselor
3345 SOUTHWESTERN BLVD STE 100
ORCHARD PARK, NY 14127
Erie County (716) 662-6802
MS. CHRISTAL RENEE BACKHAUS
Counselor
3345 SOUTHWESTERN BLVD STE 100
ORCHARD PARK, NY 14127
Erie County (716) 662-6802
SARAH PETTI
Counselor
3345 SOUTHWESTERN BLVD STE 100
ORCHARD PARK, NY 14127
Erie County (716) 662-6802
ERIN BASCUG
Counselor
3345 SOUTHWESTERN BLVD STE 100
ORCHARD PARK, NY 14127
Erie County (716) 662-6802
JESSICA DIMITROVSKI
Social Worker
3345 SOUTHWESTERN BLVD STE 100
ORCHARD PARK, NY 14127
Erie County (716) 662-6802
SARAH GODIN BAKER
Social Worker
3345 SOUTHWESTERN BLVD STE 100
ORCHARD PARK, NY 14127
Erie County (716) 662-6802
MRS. ERIKA LINDSAY HENSLEY LMHC
Counselor (Mental Health)
3345 SOUTHWESTERN BLVD STE 100
ORCHARD PARK, NY 14127
Erie County (716) 662-6802
ELIZABETH DIERENFIELD
Counselor
3345 SOUTHWESTERN BLVD STE 100
ORCHARD PARK, NY 14127
Erie County (716) 662-6802

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 Dominique Rodriguez's NPI number?

The NPI number for Dominique Rodriguez is 1306610282. It was assigned to this individual provider in the NPPES registry on November 10, 2023.

Where is Dominique Rodriguez located?

Dominique Rodriguez practices at 3345 Southwestern Blvd Ste 100, Orchard Park, NY 14127. The listed phone number is (716) 662-6802.

What is Dominique Rodriguez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Dominique Rodriguez enrolled in Medicare?

Yes. Dominique Rodriguez 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 Dominique Rodriguez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dominique Rodriguez reassigns Medicare benefits to Horizon Health Services Inc (Getzville, 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 Dominique Rodriguez'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 Dominique Rodriguez was last updated on February 20, 2024. 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.