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DOMINIC ANTHONY NISTAL
NPI 1437788031
Student in an Organized Health Care Education/Training Program in Seattle, WA

Active since April 06, 2020PECOS Enrolled
908 JEFFERSON ST FL 5, SEATTLE, WA 98104(206) 520-5000 Get Directions Write a Review

NPPES record last updated: April 6, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dominic Anthony Nistal NPPES

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

DOMINIC ANTHONY NISTAL (NPI 1437788031) is an individual student in an organized health care education/training program in Seattle, Washington and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1437788031
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDOMINIC ANTHONY NISTAL
Location Address908 JEFFERSON ST FL 5Seattle, WA 98104-2433
Mailing Address908 Jefferson St Fl 5Seattle, WA 98104-2433 · (206) 520-5000
Phone(206) 520-5000
Sole ProprietorNo
Enumeration DateApril 6, 2020
NPPES CertifiedApril 6, 2020
✔ NPI 1437788031 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

908 JEFFERSON ST FL 5, Seattle, WA 98104
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dominic Anthony Nistal 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.

Other Providers at the Same Location NPPES 4

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

MRS. SHANNON LEIGH ROSE ARNP
Nurse Practitioner
908 JEFFERSON ST FL 5
SEATTLE, WA 98104
King County (206) 520-5000
MEGAN JANE MELVIN DNP, ARNP
Nurse Practitioner (Adult Health)
908 JEFFERSON ST FL 5
SEATTLE, WA 98104
King County (206) 520-5000
JOSEPH GEE LIM PA-C
Physician Assistant
908 JEFFERSON ST FL 5
SEATTLE, WA 98104
King County (206) 520-5000
ELISE CHRISTINE RADACOSKY PA-C
Physician Assistant
908 JEFFERSON ST FL 5
SEATTLE, WA 98104
King County (206) 520-5000

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 Dominic Nistal's NPI number?

The NPI number for Dominic Nistal is 1437788031. It was assigned to this individual provider in the NPPES registry on April 6, 2020.

Where is Dominic Nistal located?

Dominic Nistal practices at 908 Jefferson St Fl 5, Seattle, WA 98104. The listed phone number is (206) 520-5000.

What is Dominic Nistal's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Dominic Nistal enrolled in Medicare?

Yes. Dominic Nistal is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Dominic Nistal was last updated on April 6, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.