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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: August 16, 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
Phone(505) 288-3173
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
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan, Ambetter of Oklahoma and more.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 3

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 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.
235 services58 patients
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.
129 services29 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
19 services19 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 5

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

LOVELACE HEALTH SYSTEM LLC
Radiology (Diagnostic Radiology)
601 MARTIN LUTHER KING AVE NE
ALBUQUERQUE, NM 87102
Bernalillo County (505) 727-8000
HARRISON DANG
Pharmacist
601 MARTIN LUTHER KING AVE NE
ALBUQUERQUE, NM 87102
Bernalillo County (505) 727-8000
DR. THOMAS SCOTT PANNKE M.D.
Emergency Medicine
601 MARTIN LUTHER KING AVE NE
ALBUQUERQUE, NM 87102
Bernalillo County (505) 727-8000
DR. WILLIAM M ROETHEL M.D.
Emergency Medicine
601 MARTIN LUTHER KING AVE NE
ALBUQUERQUE, NM 87102
Bernalillo County (505) 727-8000
LESLIE ANNE MILLER OTR/L
Occupational Therapist
601 MARTIN LUTHER KING AVE NE
ALBUQUERQUE, NM 87102
Bernalillo County (505) 727-8388

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 Dominique Pummill's NPI number?

The NPI number for Dominique Pummill is 1609364249. It was assigned to this individual provider in the NPPES registry on April 30, 2018.

Where is Dominique Pummill located?

Dominique Pummill practices at 601 Martin Luther King Ave NE, Albuquerque, NM 87102. The listed phone number is (505) 288-3173.

What is Dominique Pummill's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Dominique Pummill enrolled in Medicare?

Yes. Dominique Pummill 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.

What insurance does Dominique Pummill accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan, Ambetter of Oklahoma, Blue Cross and Blue Shield of Texas and CHRISTUS Health Plan list Dominique Pummill 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 Dominique Pummill was last updated on April 30, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.