KRISTINE ALBANIO DOMINGO NP
NPI 1346008075
Nurse Practitioner - Family in Victorville, CA

Active since March 07, 2024PECOS EnrolledAccepts Medicare Assignment
15248 ELEVENTH ST, VICTORVILLE, CA 92395(760) 245-8691 Get Directions Write a Review

NPPES record last updated: March 24, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 24, 2025, Mar 7, 2024 (2 updates tracked since 2024).

About Kristine Albanio Domingo Np NPPES

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

KRISTINE ALBANIO DOMINGO NP (NPI 1346008075) is an individual family provider in Victorville, California, licensed in California (95029290) and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1346008075
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKRISTINE ALBANIO DOMINGOCredential: NP
Location Address15248 ELEVENTH STVictorville, CA 92395-3704
Mailing Address14344 Lasselle St Apt 104Moreno Valley, CA 92553-2958 · (619) 944-7156
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMarch 7, 2024
Last NPPES UpdateMarch 24, 20252 updates tracked since enumeration
NPPES CertifiedMarch 24, 2025
NPI 1346008075 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 CA · 95029290
15248 ELEVENTH ST, Victorville, CA 92395

Other Names 1

Former Name (1)Kristine Domingo Roque

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

Kristine Albanio Domingo 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 ID244763415
PECOS Enrollment IDI20241025002346
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

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92395 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
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 14

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

Pediatrics (Neonatal-Perinatal Medicine)
15248 ELEVENTH ST
VICTORVILLE, CA 92395
Nurse Practitioner
15248 ELEVENTH ST
VICTORVILLE, CA 92395
Emergency Medicine
15248 ELEVENTH ST
VICTORVILLE, CA 92395
Anesthesiology
15248 ELEVENTH ST
VICTORVILLE, CA 92395
Internal Medicine
15248 ELEVENTH ST
VICTORVILLE, CA 92395
Pathology (Anatomic Pathology & Clinical Pathology)
15248 ELEVENTH ST
VICTORVILLE, CA 92395
Emergency Medicine
15248 ELEVENTH ST
VICTORVILLE, CA 92395
Emergency Medicine
15248 ELEVENTH ST
VICTORVILLE, CA 92395

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 Kristine Domingo's NPI number?

The NPI number for Kristine Domingo is 1346008075. It was assigned to this individual provider in the NPPES registry on March 7, 2024. The provider is also known as Kristine Domingo Roque.

Where is Kristine Domingo located?

Kristine Domingo practices at 15248 Eleventh St, Victorville, CA 92395. The listed phone number is (760) 245-8691.

What is Kristine Domingo's specialty?

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

Is Kristine Domingo enrolled in Medicare?

Yes. Kristine Domingo 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.

When was this NPI record last updated?

The NPPES record for Kristine Domingo was last updated on March 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.