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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: August 16, 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, and ordering and referring status from the CMS PECOS system.

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.

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.

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 9 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.