DANNA LARAINE DOMINGUEZ FNP-C
NPI 1467233668
Nurse Practitioner - Family in San Angelo, TX

Q: What is Danna Dominguez's NPI number?

The NPI number for Danna Dominguez is 1467233668. It was assigned to this individual provider in the NPPES registry on October 12, 2023.

Q: What is Danna Dominguez's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Danna Dominguez was last updated on July 1, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 12, 2023PECOS EnrolledAccepts Medicare Assignment

1610 S CHADBOURNE ST, SAN ANGELO, TX 76903(325) 658-5339(325) 947-0101 Get Directions Write a Review

NPPES record last updated: July 1, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 1, 2024, Oct 12, 2023 (2 updates tracked since 2023).

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About Danna Laraine Dominguez Fnp-c NPPES

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

DANNA LARAINE DOMINGUEZ FNP-C (NPI 1467233668) is an individual family provider in San Angelo, Texas, licensed in Texas (1138724) and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS, is affiliated with Shannon Medical Center, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1467233668

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameDANNA LARAINE DOMINGUEZCredential: FNP-C

Location Address1610 S CHADBOURNE STSan Angelo, TX 76903-8510

Mailing Address6006 Alamito StSan Angelo, TX 76904-7807 · (325) 245-1902

Phone(325) 658-5339

Fax(325) 947-0101

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateOctober 12, 2023

Last NPPES UpdateJuly 1, 20242 updates tracked since enumeration

NPPES CertifiedJuly 1, 2024

✔ NPI 1467233668 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 TX · 1138724

1610 S CHADBOURNE ST, San Angelo, TX 76903

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Danna Laraine Dominguez Fnp-c 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 ID5991148595

PECOS Enrollment IDI20240212000899

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Shannon Medical Center

Acute Care Hospitals · San Angelo, TX

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450571

Location120 E Harris Ave.San Angelo, TX 76903 · Tom Green County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76903 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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 13

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

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