JACQUELINE D DOMINICK CRNP
NPI 1366424921
Nurse Practitioner - Acute Care in Glen Burnie, MD
About Jacqueline D Dominick Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACQUELINE D DOMINICK CRNP (NPI 1366424921) is an individual acute care provider in Glen Burnie, Maryland, licensed in Maryland (R097460) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS, is affiliated with University Of Md Baltimore Washington Medical Center, and is a graduate of University Of Maryland School Of Medicine (1997).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 5
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
Jacqueline D Dominick Crnp 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.
Areas of Expertise CMS Part B claims 3
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
University Of MD Baltimore Washington Medical Center
Acute Care Hospitals · Glen Burnie, MDPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 21061 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
GLEN BURNIE, MD 21061
GLEN BURNIE, MD 21061
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 Jacqueline Dominick's NPI number?
The NPI number for Jacqueline Dominick is 1366424921. It was assigned to this individual provider in the NPPES registry on November 18, 2005.
Where is Jacqueline Dominick located?
Jacqueline Dominick practices at 301 Hospital Dr, Glen Burnie, MD 21061. The listed phone number is (410) 787-4000.
What is Jacqueline Dominick's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Jacqueline Dominick enrolled in Medicare?
Yes. Jacqueline Dominick 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.
Is Jacqueline Dominick affiliated with any hospitals?
According to CMS data, Jacqueline Dominick is affiliated with University Of MD Baltimore Washington Medical Center.
When was this NPI record last updated?
The NPPES record for Jacqueline Dominick was last updated on December 3, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Jacqueline D Dominick, CRNP · NPI 1366424921
Acute Care physician in Glen Burnie, Maryland. Individual provider, active in the CMS NPPES registry since November 18, 2005.
## Identity
- **NPI:** 1366424921 (Entity type: Individual)
- **Enumerated:** November 18, 2005
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** R097460 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 301 HOSPITAL DR, Glen Burnie, MD 21061-5803
- **Phone:** (410) 787-4000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** University Of Maryland School Of Medicine, class of 1997
## Record status
- **NPPES last updated:** December 3, 2007
- **Other identifiers:** Other F591-0020 (DC); Other 64696401 (MD); Other 127573 (MD); and 2 more
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Source: [NPI Profile](https://npiprofile.com/npi/1366424921) · Data from the CMS NPPES public registry.