DOMINIQUE MARQUES CRNP
NPI 1376163113
Nurse Practitioner - Family in Lower Gwynedd, PA
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
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Dominique Marques reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Lower Gwynedd, PA 19002
- Reassigned Medicare billing, Pennsylvania enrollment
- 3 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 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.
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.
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 Dominique Marques's NPI number?
The NPI number for Dominique Marques is 1376163113. It was assigned to this individual provider in the NPPES registry on April 22, 2020.
Where is Dominique Marques located?
Dominique Marques practices at 904 Sumneytown Pike Ste 100, Lower Gwynedd, PA 19002. The listed phone number is (215) 542-0655.
What is Dominique Marques's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Dominique Marques enrolled in Medicare?
Yes. Dominique Marques 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.
Which organization bills Medicare for Dominique Marques's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Dominique Marques reassigns Medicare benefits to Springhouse Dermatology Inc (Lower Gwynedd, PA). 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 Dominique Marques'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 Dominique Marques was last updated on August 31, 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.
# Dominique Marques, CRNP · NPI 1376163113
Family physician in Lower Gwynedd, Pennsylvania. Individual provider, active in the CMS NPPES registry since April 22, 2020.
## Identity
- **NPI:** 1376163113 (Entity type: Individual)
- **Enumerated:** April 22, 2020
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** SP021835 (Pennsylvania)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 904 SUMNEYTOWN PIKE STE 100, Lower Gwynedd, PA 19002-1321
- **Phone:** (215) 542-0655
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Springhouse Dermatology Inc (NPI 1487041257, Lower Gwynedd, PA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** August 31, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1376163113) · Data from the CMS NPPES public registry.