DOMINIQUE PUMMILL PMHNP
NPI 1609364249
Nurse Practitioner - Psychiatric/Mental Health in Albuquerque, NM

Active since April 30, 2018PECOS EnrolledAccepts Medicare Assignment
98.3/100
CMS Quality Rating
601 MARTIN LUTHER KING AVE NE, ALBUQUERQUE, NM 87102(505) 288-3173 Get Directions Write a Review

NPPES record last updated: April 30, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dominique Pummill Pmhnp NPPES

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

DOMINIQUE PUMMILL PMHNP (NPI 1609364249) is an individual psychiatric/mental health provider in Albuquerque, New Mexico, licensed in New Mexico (CNP03564) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1609364249
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameDOMINIQUE PUMMILLCredential: PMHNP
Location Address601 MARTIN LUTHER KING AVE NEAlbuquerque, NM 87102-3619
Mailing AddressPo Box 966Fairacres, NM 88033-0966 · (575) 805-0695
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateApril 30, 2018
NPI 1609364249 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in NM · CNP03564
601 MARTIN LUTHER KING AVE NE, Albuquerque, NM 87102

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dominique Pummill Pmhnp 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 ID2062756257
PECOS Enrollment IDI20181128002386
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
160 services38 patients
Established patient office or other outpatient visit, 30-39 minutes 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.
156 services40 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87102 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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
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.

98.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability98
Improvement Activities40

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.

Occupational Therapist
601 MARTIN LUTHER KING AVE NE
ALBUQUERQUE, NM 87102
Emergency Medicine
601 MARTIN LUTHER KING AVE NE
ALBUQUERQUE, NM 87102
Radiology (Diagnostic Radiology)
601 MARTIN LUTHER KING AVE NE
ALBUQUERQUE, NM 87102
Emergency Medicine
601 MARTIN LUTHER KING AVE NE
ALBUQUERQUE, NM 87102

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609364249, enumerated as an "individual" on April 30, 2018.

The provider is located at 601 MARTIN LUTHER KING AVE NE ALBUQUERQUE, NM 87102 and the phone number is (505) 288-3173.

Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.

The provider might be accepting Accepts: Ambetter from Arizona Complete Health, Ambetter. Please consult your insurance carrier or call the provider to verify.