MRS. SHAWNA L. W. DOMINGUEZ CNP
NPI 1568015873
Nurse Practitioner - Family in Apache Junction, AZ

Q: What is Shawna Dominguez's NPI number?

The NPI number for Shawna Dominguez is 1568015873. It was assigned to this individual provider in the NPPES registry on July 17, 2019.

Q: What is Shawna Dominguez's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Shawna Dominguez was last updated on July 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since July 17, 2019PECOS EnrolledAccepts Medicare Assignment

183 W APACHE TRL STE B109, APACHE JUNCTION, AZ 85120(480) 618-0945 Get Directions Write a Review

NPPES record last updated: July 18, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 18, 2024, Sep 5, 2019, Jul 17, 2019 (3 updates tracked since 2019).

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About Mrs. Shawna L. W. Dominguez Cnp NPPES

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

MRS. SHAWNA L. W. DOMINGUEZ CNP (NPI 1568015873) is an individual family provider in Apache Junction, Arizona, licensed in Arizona (308088) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1568015873

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. SHAWNA L. W. DOMINGUEZCredential: CNP

Location Address183 W APACHE TRL STE B109Apache Junction, AZ 85120-3425

Mailing AddressPo Box 746093Atlanta, GA 30374-6093 · (480) 618-0945

Phone(480) 618-0945

Sole ProprietorYes

Medical School CMSOtherGraduated 2021

Enumeration DateJuly 17, 2019

Last NPPES UpdateJuly 18, 20243 updates tracked since enumeration

NPPES CertifiedJuly 18, 2024

✔ NPI 1568015873 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 AZ · 308088✔ Licensed in NM · 56979

183 W APACHE TRL STE B109, Apache Junction, AZ 85120

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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 and accepts Medicare assignment

Mrs. Shawna L. W. Dominguez Cnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8921336181

PECOS Enrollment IDI20240919003353

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

Medicare enrollment records show Shawna Dominguez reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Oak Street Health Physicians Group Of Arizona PLLC

Same address

Primary Care

183 W APACHE TRL
Apache Junction, AZ 85120

Reassigned Medicare billing, Arizona enrollment
93 clinicians in this Medicare group

NPI 1063083590 (480) 618-0945

Silver Health Care PC

195 mi

Internal Medicine

1600 E 32ND ST
Silver City, NM 88061

Reassigned Medicare billing, New Mexico enrollment
37 clinicians in this Medicare group

NPI 1548291586 (575) 538-2981

Mimbres Internal Medicine PA

234 mi

Internal Medicine

122 S GOLD AVE, SUITE 3
Deming, NM 88030

Reassigned Medicare billing, New Mexico enrollment
6 clinicians in this Medicare group

NPI 1083728109 (575) 544-7280

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

228 services145 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

153 services81 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

78 services59 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

66 services66 patients

New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202

This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.

58 services58 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

52 services51 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85120 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

4 suppliers25 claims25 services$20.40 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

4 suppliers25 claims25 services$112.58 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 5

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

MS. ELIZABETH A ROMEO FNP

Nurse Practitioner (Family)