1. Home
  2. Directory
  3. Michigan
  4. Ypsilanti
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

NATALIE KEANE DOMEISEN
NPI 1366070492
Student in an Organized Health Care Education/Training Program in Ypsilanti, MI

Active since April 01, 2020PECOS EnrolledAccepts Medicare Assignment
5333 MCAULEY DR RM 4001, YPSILANTI, MI 48197(734) 712-3980 Get Directions Write a Review

NPPES record last updated: April 1, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Natalie Keane Domeisen NPPES

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

NATALIE KEANE DOMEISEN (NPI 1366070492) is an individual student in an organized health care education/training program in Ypsilanti, Michigan and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS, is affiliated with High Point Regional Health System, and is a graduate of Wake Forest University School Of Medicine (2020).

NPPES Registry Identity

NPI1366070492
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameNATALIE KEANE DOMEISEN
Location Address5333 MCAULEY DR RM 4001Ypsilanti, MI 48197-1099
Mailing Address202 Walton CtPittsburgh, PA 15215-1003 · (412) 418-5130
Phone(734) 712-3980
Sole ProprietorYes
Medical School CMSWake Forest University School Of MedicineGraduated 2020
Enumeration DateApril 1, 2020
NPPES CertifiedApril 1, 2020
✔ NPI 1366070492 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
5333 MCAULEY DR RM 4001, Ypsilanti, MI 48197
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc.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

Natalie Keane Domeisen 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 ID4880011766
PECOS Enrollment IDI20251001002379
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 3

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

High Point Regional Health System

Acute Care Hospitals · High Point, NC
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340004
Location601 N Elm StHigh Point, NC 27261 · Guilford County
Emergency services Birthing friendly

North Carolina Baptist Hospital

Acute Care Hospitals · Winston-Salem, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340047
LocationMedical Center BoulevardWinston-Salem, NC 27157 · Forsyth County
Emergency services Birthing friendly

Lexington Memorial Hospital Inc

Acute Care Hospitals · Lexington, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340096
Location250 Hospital Drive PO Box 1817Lexington, NC 27293 · Davidson County
Emergency services

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.

OLIVIA ANNE FAILLA DO
Student in an Organized Health Care Education/Training Program
5333 MCAULEY DR RM 4001
YPSILANTI, MI 48197
Washtenaw County (734) 712-3980
SHAWN O'MALLEY
Student in an Organized Health Care Education/Training Program
5333 MCAULEY DR RM 4001
YPSILANTI, MI 48197
Washtenaw County (734) 712-3980
ST JOSEPH MERCY HOSPITAL
General Acute Care Hospital (Critical Access)
5333 MCAULEY DR RM 4001
YPSILANTI, MI 48197
Washtenaw County (734) 712-5863
SUDHA KALI AYALA DO
Internal Medicine
5333 MCAULEY DR RM 4001
YPSILANTI, MI 48197
Washtenaw County (734) 712-3980
DAVID BLUMENTHAL MD
Internal Medicine
5333 MCAULEY DR RM 4001, ACADEMIC INTERNAL MEDICINE
YPSILANTI, MI 48197
Washtenaw County (734) 712-3980
JACOB AGEMY MD
Student in an Organized Health Care Education/Training Program
5333 MCAULEY DR RM 4001
YPSILANTI, MI 48197
Washtenaw County (734) 712-3980
DR. WILLIAM JOHN NABER II
Student in an Organized Health Care Education/Training Program
5333 MCAULEY DR RM 4001
YPSILANTI, MI 48197
Washtenaw County (734) 712-3980
AARTHI MANJUNATHAN
Student in an Organized Health Care Education/Training Program
5333 MCAULEY DR RM 4001
YPSILANTI, MI 48197
Washtenaw County (734) 712-3980

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 Natalie Domeisen's NPI number?

The NPI number for Natalie Domeisen is 1366070492. It was assigned to this individual provider in the NPPES registry on April 1, 2020.

Where is Natalie Domeisen located?

Natalie Domeisen practices at 5333 Mcauley Dr Rm 4001, Ypsilanti, MI 48197. The listed phone number is (734) 712-3980.

What is Natalie Domeisen's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Natalie Domeisen enrolled in Medicare?

Yes. Natalie Domeisen 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.

What insurance does Natalie Domeisen accept?

Health plans from Blue Cross and Blue Shield of NC and Oscar Health Plan of North Carolina, Inc list Natalie Domeisen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Natalie Domeisen affiliated with any hospitals?

According to CMS data, Natalie Domeisen is affiliated with High Point Regional Health System, North Carolina Baptist Hospital and Lexington Memorial Hospital Inc.

When was this NPI record last updated?

The NPPES record for Natalie Domeisen was last updated on April 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.