DR. STEPHANIE MARIE DOMBROWSKI NP-C
NPI 1649868944
Nurse Practitioner in Los Angeles, CA

Q: What is Stephanie Dombrowski's NPI number?

The NPI number for Stephanie Dombrowski is 1649868944. It was assigned to this individual provider in the NPPES registry on January 4, 2021.

Q: What is Stephanie Dombrowski's specialty?

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

Active since January 04, 2021PECOS EnrolledAccepts Medicare Assignment

1520 SAN PABLO ST STE 1000, LOS ANGELES, CA 90033(323) 442-5100 Get Directions Write a Review

NPPES record last updated: November 4, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 4, 2025, Jan 4, 2021 (2 updates tracked since 2021).

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About Dr. Stephanie Marie Dombrowski Np-c NPPES

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

DR. STEPHANIE MARIE DOMBROWSKI NP-C (NPI 1649868944) is an individual nurse practitioner in Los Angeles, California, licensed in California (95032446) and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1649868944

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameDR. STEPHANIE MARIE DOMBROWSKICredential: NP-C

Location Address1520 SAN PABLO ST STE 1000Los Angeles, CA 90033-5312

Mailing AddressPo Box 31309Los Angeles, CA 90031-0309 · (323) 442-5100

Phone(323) 442-5100

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateJanuary 4, 2021

Last NPPES UpdateNovember 4, 20252 updates tracked since enumeration

NPPES CertifiedNovember 4, 2025

✔ NPI 1649868944 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Licenses✔ Licensed in CA · 95032446✔ Licensed in MN · 7357

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.

1520 SAN PABLO ST STE 1000, Los Angeles, CA 90033

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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 and accepts Medicare assignment

Dr. Stephanie Marie Dombrowski Np-c 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 ID9436563780

PECOS Enrollment IDI20251030004660

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

Medicare enrollment records show Stephanie Dombrowski reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Usc Care Medical Group, Inc

Same address

General Practice

1520 SAN PABLO ST
Los Angeles, CA 90033

Reassigned Medicare billing, California enrollment
2,445 clinicians in this Medicare group

NPI 1902846306 (323) 442-5955

Fairview Express Care

1,502 mi

Pediatrics

111 HUNDERTMARK RD STE 210
Chaska, MN 55318

Reassigned Medicare billing, Minnesota enrollment
3,633 clinicians in this Medicare group

NPI 1043991904 (952) 401-8300

Fairview Clinics

1,507 mi

Primary Care

4151 WILLOWWOOD ST SE
Prior Lake, MN 55372

Reassigned Medicare billing, Minnesota enrollment
2,302 clinicians in this Medicare group

NPI 1568654341 (952) 226-2600

Fairview Health Services

1,515 mi

General Acute Care Hospital

201 E NICOLLET BLVD, OUTREACH LAB DEPARTMENT
Burnsville, MN 55337

Reassigned Medicare billing, Minnesota enrollment
4,038 clinicians in this Medicare group

NPI 1225199128 (952) 892-2085

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 2

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.

Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212

This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.

154 services11 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

39 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90033 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

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

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.

SERENA GHANSHANI MD

Internal Medicine (Cardiovascular Disease)