1. Home
  2. Directory
  3. Minnesota
  4. Arden Hills
  5. Nurse Practitioner
  6. NPI Profile

MRS. AMANDA JOY DOMINIK CNP
NPI 1518587120
Nurse Practitioner - Pediatrics in Arden Hills, MN

Active since April 23, 2020PECOS Enrolled
4411 ARDEN VIEW CT, ARDEN HILLS, MN 55112(651) 331-0827 Get Directions Write a Review

NPPES record last updated: April 23, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mrs. Amanda Joy Dominik Cnp NPPES

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

MRS. AMANDA JOY DOMINIK CNP (NPI 1518587120) is an individual pediatrics provider in Arden Hills, Minnesota, licensed in Minnesota (7377) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1518587120
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMRS. AMANDA JOY DOMINIKCredential: CNP
Location Address4411 ARDEN VIEW CTArden Hills, MN 55112-1944
Mailing Address4411 Arden View CtArden Hills, MN 55112-1944 · (651) 331-0827
Phone(651) 331-0827
Sole ProprietorNo
Enumeration DateApril 23, 2020
NPPES CertifiedApril 23, 2020
✔ NPI 1518587120 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in MN · 7377
4411 ARDEN VIEW CT, Arden Hills, MN 55112
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)

Mrs. Amanda Joy Dominik Cnp 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 Amanda Dominik reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Gillette Children's Specialty Healthcare
8.7 mi
Multi-Specialty
200 EAST UNIVERSITY AVE
St. Paul, MN 55101
  • Reassigned Medicare billing, Minnesota enrollment
  • Medicare enrollment name: Gillette Childrens Specialty Healthcare
  • 304 clinicians in this Medicare group
NPI 1225119175 (651) 291-2848

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 55112 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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 Amanda Dominik's NPI number?

The NPI number for Amanda Dominik is 1518587120. It was assigned to this individual provider in the NPPES registry on April 23, 2020.

Where is Amanda Dominik located?

Amanda Dominik practices at 4411 Arden View Ct, Arden Hills, MN 55112. The listed phone number is (651) 331-0827.

What is Amanda Dominik's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Amanda Dominik enrolled in Medicare?

Yes. Amanda Dominik is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Amanda Dominik's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Dominik reassigns Medicare benefits to Gillette Children's Specialty Healthcare (St. Paul, MN). 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 Amanda Dominik'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 Amanda Dominik was last updated on April 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.