MRS. DOMINIQUE CERISE ERLY PA-C
NPI 1497397921
Physician Assistant in Fayetteville, AR

Active since October 16, 2019PECOS EnrolledAccepts Medicare Assignment
3276 N NORTHHILLS BLVD, FAYETTEVILLE, AR 72703(479) 404-2110(479) 404-2111 Get Directions Write a Review

NPPES record last updated: December 28, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 28, 2021, Dec 20, 2021, Nov 1, 2019 and 1 more (4 updates tracked since 2019).

About Mrs. Dominique Cerise Erly Pa-c NPPES

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

MRS. DOMINIQUE CERISE ERLY PA-C (NPI 1497397921) is an individual physician assistant in Fayetteville, Arkansas, licensed in Wisconsin (4835-23) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS, is affiliated with Univ. Of Vermont - Fletcher Allen Health Care, and is a graduate of Wake Forest University School Of Medicine (2019).

NPPES Registry Identity

NPI1497397921
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. DOMINIQUE CERISE ERLYCredential: PA-C
Location Address3276 N NORTHHILLS BLVDFayetteville, AR 72703-4005
Mailing Address3276 N Northhills BlvdFayetteville, AR 72703-4005 · (479) 404-2110 · Fax (479) 404-2111
Fax(479) 404-2111
Sole ProprietorNo
Medical School CMSWake Forest University School Of MedicineGraduated 2019
Enumeration DateOctober 16, 2019
Last NPPES UpdateDecember 28, 20214 updates tracked since enumeration
NPPES CertifiedDecember 28, 2021
NPI 1497397921 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in WI · 4835-23
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

3276 N NORTHHILLS BLVD, Fayetteville, AR 72703

Other Names 1

Former Name (1)Dominique Cerise Laliberte

Accepted 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

Mrs. Dominique Cerise Erly Pa-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 ID244662088
PECOS Enrollment IDI20240617000367
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.

Univ. Of Vermont - Fletcher Allen Health Care

Acute Care Hospitals · Burlington, VT
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number470003
Location111 Colchester AveBurlington, VT 05401 · Chittenden County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72703 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
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$64.56 typical visit price
range $16.16 – $128.77
Typical copayment $16.14 (range $4.04 – $32.19)
Most-billed visit code 99213
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 7

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

Nurse Practitioner (Acute Care)
3276 N NORTHHILLS BLVD
FAYETTEVILLE, AR 72703
Thoracic Surgery (Cardiothoracic Vascular Surgery)
3276 N NORTHHILLS BLVD
FAYETTEVILLE, AR 72703
Thoracic Surgery (Cardiothoracic Vascular Surgery)
3276 N NORTHHILLS BLVD
FAYETTEVILLE, AR 72703
Physician Assistant (Surgical)
3276 N NORTHHILLS BLVD
FAYETTEVILLE, AR 72703
Internal Medicine (Rheumatology)
3276 N NORTHHILLS BLVD
FAYETTEVILLE, AR 72703
Internal Medicine (Rheumatology)
3276 N NORTHHILLS BLVD
FAYETTEVILLE, AR 72703
Specialist
3276 N NORTHHILLS BLVD
FAYETTEVILLE, AR 72703

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 Dominique Erly's NPI number?

The NPI number for Dominique Erly is 1497397921. It was assigned to this individual provider in the NPPES registry on October 16, 2019. The provider is also known as Dominique Cerise Laliberte.

Where is Dominique Erly located?

Dominique Erly practices at 3276 N Northhills Blvd, Fayetteville, AR 72703. The listed phone number is (479) 404-2110.

What is Dominique Erly's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Dominique Erly enrolled in Medicare?

Yes. Dominique Erly 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.

What insurance does Dominique Erly accept?

Health plans from Anthem Blue Cross and Blue Shield, Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list Dominique Erly 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 Dominique Erly affiliated with any hospitals?

According to CMS data, Dominique Erly is affiliated with Univ. Of Vermont - Fletcher Allen Health Care.

When was this NPI record last updated?

The NPPES record for Dominique Erly was last updated on December 28, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.