SELENE MENDOZA DOMINGUEZ FNP
NPI 1356838965
Nurse Practitioner - Family in Houston, TX

Q: 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.

Q: What is Selene 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 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 4 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 April 18, 2018PECOS Enrolled

4700 W SAM HOUSTON PKWY N STE 220, HOUSTON, TX 77041(713) 402-7824 Get Directions Write a Review

NPPES record last updated: September 14, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 14, 2021, Apr 18, 2018 (2 updates tracked since 2018).

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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

NPI1356838965

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSELENE MENDOZA DOMINGUEZCredential: FNP

Location Address4700 W SAM HOUSTON PKWY N STE 220Houston, TX 77041-8224

Mailing Address4700 W Sam Houston Pkwy N Ste 220Houston, TX 77041-8224 · (713) 402-7824

Phone(713) 402-7824

Sole ProprietorNo

Enumeration DateApril 18, 2018

Last NPPES UpdateSeptember 14, 20212 updates tracked since enumeration

NPPES CertifiedSeptember 14, 2021

✔ NPI 1356838965 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 TX · AP136183

4700 W SAM HOUSTON PKWY N STE 220, Houston, TX 77041

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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 (PECOS)

Selene Mendoza Dominguez Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 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.

New Patient

$90.40 typical visit price

range $58.24 – $176.98

Typical copayment $22.60 (range $14.56 – $44.24)

Most-billed visit code 99203

Established Patient

$102.71 typical visit price

range $18.60 – $143.93

Typical copayment $25.67 (range $4.65 – $35.98)

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.

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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.

ALAR SMITH AGNP

Nurse Practitioner (Gerontology)