HARLEY DOMBY PMHNP-BC
NPI 1609767797
Nurse Practitioner - Psychiatric/Mental Health in Bolivar, MO
About Harley Domby Pmhnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HARLEY DOMBY PMHNP-BC (NPI 1609767797) is an individual psychiatric/mental health provider in Bolivar, Missouri, licensed in Missouri (2025028277) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS, is affiliated with Citizens Memorial Hospital, and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
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
Harley Domby Pmhnp-bc 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Citizens Memorial Hospital
Acute Care Hospitals · Bolivar, MOPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 65613 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Harley Domby's NPI number?
The NPI number for Harley Domby is 1609767797. It was assigned to this individual provider in the NPPES registry on July 15, 2025.
Where is Harley Domby located?
Harley Domby practices at 1500 N Oakland Ave, Bolivar, MO 65613. The listed phone number is (417) 326-6000.
What is Harley Domby's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Harley Domby enrolled in Medicare?
Yes. Harley Domby 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 Harley Domby accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 2 other insurers list Harley Domby 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 Harley Domby affiliated with any hospitals?
According to CMS data, Harley Domby is affiliated with Citizens Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Harley Domby was last updated on July 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.
# Harley Domby, PMHNP-BC · NPI 1609767797
Psychiatric/Mental Health physician in Bolivar, Missouri. Individual provider, active in the CMS NPPES registry since July 15, 2025.
## Identity
- **NPI:** 1609767797 (Entity type: Individual)
- **Enumerated:** July 15, 2025
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 2025028277 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 1500 N OAKLAND AVE, Bolivar, MO 65613-3011
- **Phone:** (417) 326-6000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** July 15, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1609767797) · Data from the CMS NPPES public registry.