DOMINIQUE MARQUES CRNP
NPI 1376163113
Nurse Practitioner - Family in Lower Gwynedd, PA

Active since April 22, 2020PECOS EnrolledAccepts Medicare Assignment
904 SUMNEYTOWN PIKE STE 100, LOWER GWYNEDD, PA 19002(215) 542-0655 Get Directions Write a Review

NPPES record last updated: August 31, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dominique Marques Crnp NPPES

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

DOMINIQUE MARQUES CRNP (NPI 1376163113) is an individual family provider in Lower Gwynedd, Pennsylvania, licensed in Pennsylvania (SP021835) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1376163113
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDOMINIQUE MARQUESCredential: CRNP
Location Address904 SUMNEYTOWN PIKE STE 100Lower Gwynedd, PA 19002-1321
Mailing Address904 Sumneytown Pike Ste 100Lower Gwynedd, PA 19002-1321 · (215) 542-0655 · Fax (215) 542-1448
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateApril 22, 2020
Last NPPES UpdateAugust 31, 2021
NPPES CertifiedAugust 31, 2021
NPI 1376163113 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 PA · SP021835
904 SUMNEYTOWN PIKE STE 100, Lower Gwynedd, PA 19002

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

Dominique Marques 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.

PECOS PAC ID3870911431
PECOS Enrollment IDI20200914001419
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 19002 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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 3

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

Specialist
904 SUMNEYTOWN PIKE STE 100
LOWER GWYNEDD, PA 19002
Specialist
904 SUMNEYTOWN PIKE STE 100
LOWER GWYNEDD, PA 19002
Physician Assistant
904 SUMNEYTOWN PIKE STE 100
LOWER GWYNEDD, PA 19002

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1376163113, enumerated as an "individual" on April 22, 2020.

The provider is located at 904 SUMNEYTOWN PIKE STE 100 LOWER GWYNEDD, PA 19002 and the phone number is (215) 542-0655.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.