1. Home
  2. Directory
  3. Florida
  4. Doral
  5. Nurse Practitioner
  6. NPI Profile

ADAMARIS DOMENECH
NPI 1417661398
Nurse Practitioner in Doral, FL

Active since January 05, 2023PECOS Enrolled
10544 NW 26TH ST STE E204, DORAL, FL 33172(786) 281-0753 Get Directions Write a Review

NPPES record last updated: July 15, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jul 15, 2026, May 18, 2023, Jan 5, 2023 (3 updates tracked since 2023).

About Adamaris Domenech NPPES

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

ADAMARIS DOMENECH (NPI 1417661398) is an individual nurse practitioner in Doral, Florida, licensed in Florida (APRN11004404) and active in the NPI registry since January 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417661398
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameADAMARIS DOMENECH
Location Address10544 NW 26TH ST STE E204Doral, FL 33172-2160
Mailing Address9540 Sw 28th StMiami, FL 33165-3014 · (786) 281-0753
Phone(786) 281-0753
Sole ProprietorYes
Enumeration DateJanuary 5, 2023
Last NPPES UpdateJuly 15, 20263 updates tracked since enumeration
NPPES CertifiedJuly 15, 2026
✔ NPI 1417661398 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in FL · APRN11004404
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License APRN11004404 (FL)
10544 NW 26TH ST STE E204, Doral, FL 33172
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Adamaris Domenech is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Adamaris Domenech reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Great Health Medical Fl PA
5.9 mi
Family Medicine
5300 W 16TH AVE
Hialeah, FL 33012
  • Reassigned Medicare billing, Florida enrollment
  • 14 clinicians in this Medicare group
NPI 1093589442 (212) 201-1252

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 33172 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
$96.13 typical visit price
range $60.92 – $187.05
Typical copayment $24.03 (range $15.23 – $46.76)
Most-billed visit code 99203
Established Patient
$107.17 typical visit price
range $18.99 – $150.24
Typical copayment $26.79 (range $4.74 – $37.56)
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.

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 Adamaris Domenech's NPI number?

The NPI number for Adamaris Domenech is 1417661398. It was assigned to this individual provider in the NPPES registry on January 5, 2023.

Where is Adamaris Domenech located?

Adamaris Domenech practices at 10544 NW 26th St Ste E204, Doral, FL 33172. The listed phone number is (786) 281-0753.

What is Adamaris Domenech's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Adamaris Domenech enrolled in Medicare?

Yes. Adamaris Domenech is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Adamaris Domenech's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Adamaris Domenech reassigns Medicare benefits to Great Health Medical Fl PA (Hialeah, FL). 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 Adamaris Domenech'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 Adamaris Domenech was last updated on July 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.