DOMINIC IRABOR FNP-BC
NPI 1568003663
Nurse Practitioner - Family in Minneapolis, MN

Active since October 01, 2019PECOS Enrolled
2330 CENTRAL AVE NE, MINNEAPOLIS, MN 55418(612) 781-1212 Get Directions Write a Review

NPPES record last updated: October 11, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 11, 2019, Oct 1, 2019 (2 updates tracked since 2019).

About Dominic Irabor Fnp-bc NPPES

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

DOMINIC IRABOR FNP-BC (NPI 1568003663) is an individual family provider in Minneapolis, Minnesota, licensed in Minnesota (6997) and active in the NPI registry since October 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1568003663
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameDOMINIC IRABORCredential: FNP-BC
Location Address2330 CENTRAL AVE NEMinneapolis, MN 55418-3710
Mailing Address2330 Central Ave NeMinneapolis, MN 55418-3710 · (612) 781-1212
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateOctober 1, 2019
Last NPPES UpdateOctober 11, 20192 updates tracked since enumeration
✔ NPI 1568003663 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
License✔ Licensed in MN · 6997
2330 CENTRAL AVE NE, Minneapolis, MN 55418

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dominic Irabor Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3274965660
PECOS Enrollment IDI20191125001229
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 Dominic Irabor reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Federally Qualified Health Center (FQHC)
1801 NICOLLET AVE S, SUITE 101
Minneapolis, MN 55403
  • Reassigned Medicare billing, Minnesota enrollment
  • 5 clinicians in this Medicare group

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 55418 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.

Other Providers at the Same Location NPPES 4

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

Family Medicine
2330 CENTRAL AVE NE
MINNEAPOLIS, MN 55418
Nurse Practitioner (Pediatrics)
2330 CENTRAL AVE NE
MINNEAPOLIS, MN 55418
Clinic/Center (Community Health)
2330 CENTRAL AVE NE
MINNEAPOLIS, MN 55418
Physician Assistant
2330 CENTRAL AVE NE
MINNEAPOLIS, MN 55418

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 Dominic Irabor's NPI number?

The NPI number for Dominic Irabor is 1568003663. It was assigned to this individual provider in the NPPES registry on October 1, 2019.

Where is Dominic Irabor located?

Dominic Irabor practices at 2330 Central Ave NE, Minneapolis, MN 55418. The listed phone number is (612) 781-1212.

What is Dominic Irabor's specialty?

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

Is Dominic Irabor enrolled in Medicare?

Yes. Dominic Irabor is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Dominic Irabor's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dominic Irabor reassigns Medicare benefits to Universal Medical Services Inc (Minneapolis, 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 Dominic Irabor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dominic Irabor accept?

Health plans from HealthPartners list Dominic Irabor 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.

When was this NPI record last updated?

The NPPES record for Dominic Irabor was last updated on October 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.