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MARIA KRISELDA GROSPE DOMINGO MSN,APRN,NP-C
NPI 1548150576
Nurse Practitioner in Lithia Springs, GA

Active since July 09, 2025PECOS Enrolled
1536 FENMORE ST, LITHIA SPRINGS, GA 30122(678) 779-5765 Get Directions Write a Review

NPPES record last updated: November 13, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 13, 2025, Jul 9, 2025 (2 updates tracked since 2025).

About Maria Kriselda Grospe Domingo Msn,aprn,np-c NPPES

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

MARIA KRISELDA GROSPE DOMINGO MSN,APRN,NP-C (NPI 1548150576) is an individual nurse practitioner in Lithia Springs, Georgia, licensed in Georgia (NP264551) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1548150576
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMARIA KRISELDA GROSPE DOMINGOCredential: MSN,APRN,NP-C
Location Address1536 FENMORE STLithia Springs, GA 30122-6863
Mailing Address1536 Fenmore StLithia Springs, GA 30122-6863
Phone(678) 779-5765
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJuly 9, 2025
Last NPPES UpdateNovember 13, 20252 updates tracked since enumeration
NPPES CertifiedNovember 13, 2025
✔ NPI 1548150576 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses✔ Licensed in GA · NP264551✔ Licensed in CA · NP95037093
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1536 FENMORE ST, Lithia Springs, GA 30122
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Maria Kriselda Grospe Domingo Msn,aprn,np-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6507363991
PECOS Enrollment IDI20251010001129
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 Reassignments

5

Medicare enrollment records show Maria Kriselda Domingo reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Village Podiatry Group II, LLC.
13 mi
Foot & Ankle Surgery
2045 PEACHTREE ROAD NE, SUITE 810
Atlanta, GA 30309
  • Reassigned Medicare billing, Georgia enrollment
  • 112 clinicians in this Medicare group
NPI 1427540699 (404) 446-1890
Upperline Healthcare, PC
129 mi
Foot & Ankle Surgery
2116 CHAPEL HILL RD
Hoover, AL 35216
  • Reassigned Medicare billing, Georgia enrollment
  • 62 clinicians in this Medicare group
NPI 1538686498 (407) 219-5402
Adcs Care Management 1 Inc
207 mi
Family Medicine
4101 CHARLOTTE AVE STE F185
Nashville, TN 37209
  • Reassigned Medicare billing, Georgia enrollment
  • 32 clinicians in this Medicare group
NPI 1609759653 (855) 669-7843
Adcs Care Management 2 Inc
207 mi
Family Medicine
4101 CHARLOTTE AVE STE F185
Nashville, TN 37209
  • Reassigned Medicare billing, Georgia enrollment
  • 32 clinicians in this Medicare group
NPI 1770466724 (855) 669-7843
Ennoble Hc Dmv LLC
567 mi
Geriatric Medicine
8115 MAPLE LAWN BLVD STE 350
Fulton, MD 20759
  • Reassigned Medicare billing, Georgia enrollment
  • 67 clinicians in this Medicare group
NPI 1104492115 (862) 812-9010

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 30122 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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 Maria Kriselda Domingo's NPI number?

The NPI number for Maria Kriselda Domingo is 1548150576. It was assigned to this individual provider in the NPPES registry on July 9, 2025.

Where is Maria Kriselda Domingo located?

Maria Kriselda Domingo practices at 1536 Fenmore St, Lithia Springs, GA 30122. The listed phone number is (678) 779-5765.

What is Maria Kriselda Domingo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Maria Kriselda Domingo enrolled in Medicare?

Yes. Maria Kriselda Domingo is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Maria Kriselda Domingo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Maria Kriselda Domingo reassigns Medicare benefits to 5 organizations: Village Podiatry Group II, LLC. (Atlanta, GA), Upperline Healthcare, PC (Hoover, AL), Adcs Care Management 1 Inc (Nashville, TN), Adcs Care Management 2 Inc (Nashville, TN) and Ennoble Hc Dmv LLC (Fulton, MD). 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 Maria Kriselda Domingo'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 Maria Kriselda Domingo was last updated on November 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.