ERIK JON DOMINGER PMHNP-BC
NPI 1396114955
Nurse Practitioner - Psychiatric/Mental Health in Grants Pass, OR

Q: What is Erik Dominger's NPI number?

The NPI number for Erik Dominger is 1396114955. It was assigned to this individual provider in the NPPES registry on September 24, 2015.

Q: What is Erik Dominger's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Erik Dominger was last updated on May 2, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 24, 2015PECOS EnrolledAccepts Medicare Assignment

1215 SW G. STREET, GRANTS PASS, OR 97526(541) 476-2373(541) 476-1526 Get Directions Write a Review

NPPES record last updated: May 2, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 2, 2022, Mar 21, 2016 (2 updates tracked since 2016).

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About Erik Jon Dominger Pmhnp-bc NPPES

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

ERIK JON DOMINGER PMHNP-BC (NPI 1396114955) is an individual psychiatric/mental health provider in Grants Pass, Oregon, licensed in Oregon (202204953NP-PP) and active in the NPI registry since September 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1396114955

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameERIK JON DOMINGERCredential: PMHNP-BC

Location Address1215 SW G. STREETGrants Pass, OR 97526-2544

Mailing Address1215 Sw G. StreetGrants Pass, OR 97526-2544 · (541) 476-2373 · Fax (541) 476-1526

Phone(541) 476-2373

Fax(541) 476-1526

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateSeptember 24, 2015

Last NPPES UpdateMay 2, 20222 updates tracked since enumeration

NPPES CertifiedApril 27, 2022

✔ NPI 1396114955 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in OR · 202204953NP-PP

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

Also ListedRegistered NurseTaxonomy 163W00000X · License 201502991RN (OR)

1215 SW G. STREET, Grants Pass, OR 97526

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Regence BlueCross BlueShield of Oregon.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

Erik Jon Dominger Pmhnp-bc 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 ID2365839768

PECOS Enrollment IDI20220504001636

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.

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.

Psychotherapy with evaluation and management visit, 30 minutes 90833

Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.

35 services22 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

25 services11 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

20 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97526 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

$84.82 typical visit price

range $54.96 – $166.64

Typical copayment $21.20 (range $13.74 – $41.66)

Most-billed visit code 99203

Established Patient

$97.16 typical visit price

range $17.68 – $136.19

Typical copayment $24.29 (range $4.42 – $34.04)

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.

BRIAN GUMPORT

Counselor (Mental Health)