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JARED DOMAGUING
NPI 1609657741
Nurse Practitioner in Walnut Creek, CA

Active since October 12, 2023PECOS Enrolled
450 N WIGET LN, WALNUT CREEK, CA 94598(510) 690-7357 Get Directions Write a Review

NPPES record last updated: October 12, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jared Domaguing NPPES

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

JARED DOMAGUING (NPI 1609657741) is an individual nurse practitioner in Walnut Creek, California, licensed in California (95027588) and active in the NPI registry since October 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1609657741
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameJARED DOMAGUING
Location Address450 N WIGET LNWalnut Creek, CA 94598-2408
Mailing Address57 Ben LomondHercules, CA 94547-3940 · (510) 690-7357
Phone(510) 690-7357
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateOctober 12, 2023
NPPES CertifiedOctober 12, 2023
✔ NPI 1609657741 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CA · 95027588
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
450 N WIGET LN, Walnut Creek, CA 94598
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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 (PECOS)

Jared Domaguing is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5991260002
PECOS Enrollment IDI20260720002008
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 Jared Domaguing reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Integrated Pain Management Medical Group, Inc.
Same address
Pain Medicine
450 N WIGET LN
Walnut Creek, CA 94598
  • Reassigned Medicare billing, California enrollment
  • 137 clinicians in this Medicare group
NPI 1922198779 (925) 691-9806

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 94598 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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 20

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

HOWARD P ROME JR. PHD
Psychologist (Rehabilitation)
450 N WIGET LN
WALNUT CREEK, CA 94598
Contra Costa County (925) 482-8111
MS. ALMITA HERAMIA N.P.
Nurse Practitioner
450 N WIGET LN
WALNUT CREEK, CA 94598
Contra Costa County (925) 691-9806
KASRA AMIRDELFAN MD
Pain Medicine (Pain Medicine)
450 N WIGET LN
WALNUT CREEK, CA 94598
Contra Costa County (925) 691-9806
JESSICA LINNANE N.P.
Nurse Practitioner (Family)
450 N WIGET LN
WALNUT CREEK, CA 94598
Contra Costa County (925) 691-9806
LAWRENCE WEIL M.D
Pain Medicine (Pain Medicine)
450 N WIGET LN
WALNUT CREEK, CA 94598
Contra Costa County (925) 691-9806
MRS. SYLVIA SANTOS ESPERANZA NP
Nurse Practitioner (Family)
450 N WIGET LN
WALNUT CREEK, CA 94598
Contra Costa County (925) 691-9806
JULIA ROWLAND FNP
Nurse Practitioner (Family)
450 N WIGET LN
WALNUT CREEK, CA 94598
Contra Costa County (925) 691-9806
KENNETH W KIM MD
Physical Medicine & Rehabilitation (Pain Medicine)
450 N WIGET LN
WALNUT CREEK, CA 94598
Contra Costa County (925) 691-9806

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 Jared Domaguing's NPI number?

The NPI number for Jared Domaguing is 1609657741. It was assigned to this individual provider in the NPPES registry on October 12, 2023.

Where is Jared Domaguing located?

Jared Domaguing practices at 450 N Wiget Ln, Walnut Creek, CA 94598. The listed phone number is (510) 690-7357.

What is Jared Domaguing's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Jared Domaguing enrolled in Medicare?

Yes. Jared Domaguing is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jared Domaguing's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jared Domaguing reassigns Medicare benefits to Integrated Pain Management Medical Group, Inc. (Walnut Creek, CA). 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 Jared Domaguing's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jared Domaguing was last updated on October 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.