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TRISHA DOMACHOWSKI CRNP
NPI 1417626136
Nurse Practitioner - Family in Bethel Park, PA

Active since September 07, 2021PECOS EnrolledAccepts Medicare Assignment
2880 INDUSTRIAL BLVD, BETHEL PARK, PA 15102(412) 854-7530 Get Directions Write a Review

NPPES record last updated: May 14, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 14, 2026, Sep 7, 2021 (2 updates tracked since 2021).

About Trisha Domachowski Crnp NPPES

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

TRISHA DOMACHOWSKI CRNP (NPI 1417626136) is an individual family provider in Bethel Park, Pennsylvania, licensed in Pennsylvania (SP024350) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1417626136
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTRISHA DOMACHOWSKICredential: CRNP
Location Address2880 INDUSTRIAL BLVDBethel Park, PA 15102-2534
Mailing Address2880 Industrial BlvdBethel Park, PA 15102-2534
Phone(412) 854-7530
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateSeptember 7, 2021
Last NPPES UpdateMay 14, 20262 updates tracked since enumeration
NPPES CertifiedMay 14, 2026
✔ NPI 1417626136 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 · SP024350
2880 INDUSTRIAL BLVD, Bethel Park, PA 15102
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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

Trisha Domachowski 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 ID5395137699
PECOS Enrollment IDI20220119000038
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Trisha Domachowski reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Upmc Community Medicine Inc
1.2 mi
Dermatology
1300 OXFORD DR STE 1500
Bethel Park, PA 15102
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,182 clinicians in this Medicare group
NPI 1619563558 (412) 851-2128
St. Clair Medical Services, Inc.
1.3 mi
Internal Medicine
2000 OXFORD DR, SUITE 115
Bethel Park, PA 15102
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 307 clinicians in this Medicare group
NPI 1386992592 (412) 471-3061

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
31 services20 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 services14 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15102 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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 2

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

SYDNEY C MCWILLIAMS PA-C
Physician Assistant
2880 INDUSTRIAL BLVD
BETHEL PARK, PA 15102
Allegheny County (412) 854-7530
JESSICA RAVE PA-C
Physician Assistant
2880 INDUSTRIAL BLVD
BETHEL PARK, PA 15102
Allegheny County (412) 854-7530

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 Trisha Domachowski's NPI number?

The NPI number for Trisha Domachowski is 1417626136. It was assigned to this individual provider in the NPPES registry on September 7, 2021.

Where is Trisha Domachowski located?

Trisha Domachowski practices at 2880 Industrial Blvd, Bethel Park, PA 15102. The listed phone number is (412) 854-7530.

What is Trisha Domachowski's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Trisha Domachowski enrolled in Medicare?

Yes. Trisha Domachowski 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 organizations bill Medicare for Trisha Domachowski's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Trisha Domachowski reassigns Medicare benefits to 2 organizations: Upmc Community Medicine Inc (Bethel Park, PA) and St. Clair Medical Services, Inc. (Bethel Park, PA). Each 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 Trisha Domachowski'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 Trisha Domachowski was last updated on May 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.