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GABRIELLA DOMKA CNP
NPI 1588192041
Nurse Practitioner - Family in Mansfield, OH

Active since May 30, 2017PECOS EnrolledAccepts Medicare Assignment
81.3/100
CMS Quality Rating
550 S TRIMBLE RD, MANSFIELD, OH 44906(419) 756-1961 Get Directions Write a Review

NPPES record last updated: June 20, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Gabriella Domka Cnp NPPES

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

GABRIELLA DOMKA CNP (NPI 1588192041) is an individual family provider in Mansfield, Ohio, licensed in Ohio (020911) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS, is affiliated with Ohiohealth Mansfield Hospital, and is a graduate of Ohio State University College Of Medicine (2017).

NPPES Registry Identity

NPI1588192041
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameGABRIELLA DOMKACredential: CNP
Location Address550 S TRIMBLE RDMansfield, OH 44906-3418
Mailing AddressPo Box 7527Dublin, OH 43017-0727 · (419) 520-2495
Phone(419) 756-1961
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 2017
Enumeration DateMay 30, 2017
Last NPPES UpdateJune 20, 2022
NPPES CertifiedJune 20, 2022
✔ NPI 1588192041 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 OH · 020911
550 S TRIMBLE RD, Mansfield, OH 44906
Open in Google Maps ↗

Other Identifiers 1

Medicaid0237622OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual and more.Insurance ›

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

Gabriella Domka 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 ID1850664764
PECOS Enrollment IDI20170829000091
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

2

Medicare enrollment records show Gabriella Domka reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Provider Profile
2.1 mi
Infectious Disease
370 CLINE AVE
Mansfield, OH 44907
  • Reassigned Medicare billing, Ohio enrollment
  • 2 clinicians in this Medicare group
NPI 1073630893 (419) 709-9597
Ohiohealth Corporation
57 mi
Cardiovascular Disease
3705 OLENTANGY RIVER RD, SUITE 100
Columbus, OH 43214
  • Reassigned Medicare billing, Ohio enrollment
  • 3,314 clinicians in this Medicare group
NPI 1194979526 (614) 262-6772

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 12

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
263 services93 patients
Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
225 services84 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
113 services84 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.
109 services36 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
72 services48 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
71 services38 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ohiohealth Mansfield Hospital

Acute Care Hospitals · Mansfield, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360118
Location335 Glessner AvenueMansfield, OH 44903 · Richland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44906 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.58
Promoting Interoperability98
Improvement Activities40
Cost65.77

Referred Medical Equipment & Supplies CMS DME claims

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

Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing A6402
DME-Medical/Surgical Supplies · category DA023N
1 supplier12 claims2,090 services$0.11 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 3

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

BRIAN J ZIMMERMAN DPM
Podiatrist
550 S TRIMBLE RD
MANSFIELD, OH 44906
Richland County (419) 756-1961
ASHLAND/MANSFIELD FOOT & ANKLE SPECIALISTS
Podiatrist (Foot & Ankle Surgery)
550 S TRIMBLE RD
MANSFIELD, OH 44906
Richland County (419) 756-1961
JEREMIAH DILLON JR. DPM
Podiatrist
550 S TRIMBLE RD
MANSFIELD, OH 44906
Richland County (419) 756-1961

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 Gabriella Domka's NPI number?

The NPI number for Gabriella Domka is 1588192041. It was assigned to this individual provider in the NPPES registry on May 30, 2017.

Where is Gabriella Domka located?

Gabriella Domka practices at 550 S Trimble Rd, Mansfield, OH 44906. The listed phone number is (419) 756-1961.

What is Gabriella Domka's specialty?

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

Is Gabriella Domka enrolled in Medicare?

Yes. Gabriella Domka is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Gabriella Domka's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gabriella Domka reassigns Medicare benefits to 2 organizations: (Mansfield, OH) and Ohiohealth Corporation (Columbus, OH). 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 Gabriella Domka's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gabriella Domka accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual, Oscar Health and Oscar Health Maintenance Organization of Florida and 1 other insurer list Gabriella Domka 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.

Is Gabriella Domka affiliated with any hospitals?

According to CMS data, Gabriella Domka is affiliated with Ohiohealth Mansfield Hospital.

When was this NPI record last updated?

The NPPES record for Gabriella Domka was last updated on June 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.