ARELY DOMINGUEZ GONZALEZ FNP
NPI 1548826670
Nurse Practitioner - Family in Fountain, CO

Q: What is Arely Dominguez Gonzalez's NPI number?

The NPI number for Arely Dominguez Gonzalez is 1548826670. It was assigned to this individual provider in the NPPES registry on May 14, 2019.

Q: What is Arely Dominguez Gonzalez's specialty?

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

Active since May 14, 2019PECOS Enrolled

350 LYCKMAN PL, FOUNTAIN, CO 80817(719) 632-5700(719) 322-0776 Get Directions Write a Review

NPPES record last updated: August 25, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 25, 2021, May 14, 2019 (2 updates tracked since 2019).

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About Arely Dominguez Gonzalez Fnp NPPES

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

ARELY DOMINGUEZ GONZALEZ FNP (NPI 1548826670) is an individual family provider in Fountain, Colorado, licensed in Colorado (C-APN.0003054-C-NP) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1548826670

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameARELY DOMINGUEZ GONZALEZCredential: FNP

Location Address350 LYCKMAN PLFountain, CO 80817-2861

Mailing AddressPo Box 669Ahoskie, NC 27910-0669 · (252) 209-0237 · Fax (252) 209-0197

Phone(719) 632-5700

Fax(719) 322-0776

Sole ProprietorNo

Enumeration DateMay 14, 2019

Last NPPES UpdateAugust 25, 20212 updates tracked since enumeration

NPPES CertifiedAugust 25, 2021

✔ NPI 1548826670 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

Licenses✔ Licensed in CO · C-APN.0003054-C-NP✔ Licensed in NC · 5011630

350 LYCKMAN PL, Fountain, CO 80817

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Arely Dominguez Gonzalez Fnp 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80817 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

$89.43 typical visit price

range $58.06 – $174.82

Typical copayment $22.35 (range $14.51 – $43.70)

Most-billed visit code 99203

Established Patient

$102.03 typical visit price

range $18.88 – $142.79

Typical copayment $25.50 (range $4.72 – $35.69)

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 9

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

PATRICK MICHAEL CASSIDY P.A.-C

Physician Assistant