SELENE MENDOZA DOMINGUEZ FNP
NPI 1356838965
Nurse Practitioner - Family in Houston, TX
About Selene Mendoza Dominguez Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SELENE MENDOZA DOMINGUEZ FNP (NPI 1356838965) is an individual family provider in Houston, Texas, licensed in Texas (AP136183) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Selene Mendoza Dominguez Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Selene Dominguez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Austin, TX 78704
- Reassigned Medicare billing, Texas enrollment
- Medicare enrollment name: Wellmed Medical Group PA
- 762 clinicians in this Medicare group
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 77041 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
HOUSTON, TX 77041
HOUSTON, TX 77041
HOUSTON, TX 77041
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 Selene Dominguez's NPI number?
The NPI number for Selene Dominguez is 1356838965. It was assigned to this individual provider in the NPPES registry on April 18, 2018.
Where is Selene Dominguez located?
Selene Dominguez practices at 4700 W Sam Houston Pkwy N Ste 220, Houston, TX 77041. The listed phone number is (713) 402-7824.
What is Selene Dominguez's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Selene Dominguez enrolled in Medicare?
Yes. Selene Dominguez is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Selene Dominguez's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Selene Dominguez reassigns Medicare benefits to Wellmed Medical Group, P.A. (Austin, TX). 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 Selene Dominguez'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 Selene Dominguez was last updated on September 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Selene Mendoza Dominguez, FNP · NPI 1356838965
Family physician in Houston, Texas. Individual provider, active in the CMS NPPES registry since April 18, 2018.
## Identity
- **NPI:** 1356838965 (Entity type: Individual)
- **Enumerated:** April 18, 2018
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** AP136183 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 4700 W SAM HOUSTON PKWY N STE 220, Houston, TX 77041-8224
- **Phone:** (713) 402-7824
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Wellmed Medical Group, P.A. (NPI 1437457710, Austin, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 14, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1356838965) · Data from the CMS NPPES public registry.