TRACY DOMINIQUE CRNA
NPI 1457746133
Nurse Anesthetist, Certified Registered in Toledo, OH
About Tracy Dominique Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TRACY DOMINIQUE CRNA (NPI 1457746133) is an individual nurse anesthetist, certified registered in Toledo, Ohio, licensed in Ohio (RN.300695) and active in the NPI registry since March 2015. She is affiliated with Mercy St Vincent Medical Center and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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
Tracy Dominique Crna 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 Reassignments
2Medicare enrollment records show Tracy Dominique reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Bowling Green, OH 43402
- Reassigned Medicare billing, Ohio enrollment
- 25 clinicians in this Medicare group
Batavia, OH 45103
- Reassigned Medicare billing, Ohio enrollment
- Medicare enrollment name: Southwest Ohio Anesthesia Consultants LLC
- 830 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.
Areas of Expertise CMS Part B claims
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mercy St Vincent Medical Center
Acute Care Hospitals · Toledo, OHPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 43606 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
TOLEDO, OH 43606
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 Tracy Dominique's NPI number?
The NPI number for Tracy Dominique is 1457746133. It was assigned to this individual provider in the NPPES registry on March 31, 2015.
Where is Tracy Dominique located?
Tracy Dominique practices at 2142 N Cove Blvd, Toledo, OH 43606. The listed phone number is (419) 824-7345.
What is Tracy Dominique's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Tracy Dominique enrolled in Medicare?
Yes. Tracy Dominique 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 Tracy Dominique's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tracy Dominique reassigns Medicare benefits to 2 organizations: Wood County Hospital Assn. (Bowling Green, OH) and Anesthesia & Intensive Care Consultants,inc. (Batavia, OH). 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 Tracy Dominique's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tracy Dominique accept?
Health plans from CareSource list Tracy Dominique as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Tracy Dominique affiliated with any hospitals?
According to CMS data, Tracy Dominique is affiliated with Mercy St Vincent Medical Center.
When was this NPI record last updated?
The NPPES record for Tracy Dominique was last updated on April 15, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Tracy Dominique, CRNA · NPI 1457746133
Nurse Anesthetist, Certified Registered physician in Toledo, Ohio. Individual provider, active in the CMS NPPES registry since March 31, 2015.
## Identity
- **NPI:** 1457746133 (Entity type: Individual)
- **Enumerated:** March 31, 2015
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** RN.300695 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 2142 N COVE BLVD, Toledo, OH 43606-3895
- **Phone:** (419) 824-7345 · **Fax:** (419) 824-7359
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Wood County Hospital Assn. (NPI 1790955268, Bowling Green, OH); Anesthesia & Intensive Care Consultants,inc. (NPI 1164859013, Batavia, OH) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** April 15, 2015
---
Source: [NPI Profile](https://npiprofile.com/npi/1457746133) · Data from the CMS NPPES public registry.