MS. ELLEN GRACE MARTINEZ DOMINGUEZ APRN
NPI 1659112605
Nurse Practitioner in Sebring, FL

Q: What is Ellen Grace Dominguez's NPI number?

The NPI number for Ellen Grace Dominguez is 1659112605. It was assigned to this individual provider in the NPPES registry on June 4, 2024.

Q: What is Ellen Grace Dominguez's specialty?

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

Active since June 04, 2024PECOS EnrolledAccepts Medicare Assignment

5115 US HIGHWAY 27 N STE 100, SEBRING, FL 33870(863) 385-2222(863) 382-8765 Get Directions Write a Review

NPPES record last updated: May 15, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 15, 2025, Jun 4, 2024 (2 updates tracked since 2024).

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About Ms. Ellen Grace Martinez Dominguez Aprn NPPES

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

MS. ELLEN GRACE MARTINEZ DOMINGUEZ APRN (NPI 1659112605) is an individual nurse practitioner in Sebring, Florida, licensed in Florida (APRN11033161) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS, is affiliated with Hca Florida Highlands Hospital, and maintains a secondary practice location in Winter Haven.

NPPES Registry Identity

NPI1659112605

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMS. ELLEN GRACE MARTINEZ DOMINGUEZCredential: APRN

Location Address5115 US HIGHWAY 27 N STE 100Sebring, FL 33870-1323

Mailing Address4432 Maderia AveSebring, FL 33872-2126 · (863) 873-5292

Phone(863) 385-2222

Fax(863) 382-8765

Sole ProprietorYes

Medical School CMSOtherGraduated 2024

Enumeration DateJune 4, 2024

Last NPPES UpdateMay 15, 20252 updates tracked since enumeration

NPPES CertifiedMay 15, 2025

✔ NPI 1659112605 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 FL · APRN11033161

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.

5115 US HIGHWAY 27 N STE 100, Sebring, FL 33870

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Secondary Practice Location 1

Location 1146 Avenue B NWWinter Haven, FL 33881-4506 · Phone (863) 299-3210 · Fax (863) 299-2968

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

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

Ms. Ellen Grace Martinez Dominguez Aprn 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 ID4789120270

PECOS Enrollment IDI20240719003252

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 Ellen Grace Dominguez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Florida Joint & Spine Institute PA

0.3 mi

Orthopaedic Surgery

5115 US HIGHWAY 27 N STE 100
Sebring, FL 33870

Reassigned Medicare billing, Florida enrollment
15 clinicians in this Medicare group

NPI 1992705487 (863) 385-2222

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 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.

94 services80 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

32 services32 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

25 services25 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Hca Florida Highlands Hospital

Acute Care Hospitals · Sebring, FL

1/5 CMS rating

OwnershipProprietary

CMS Certification Number100049

Location3600 S Highlands AveSebring, FL 33870 · Highlands County

Emergency services

Adventhealth Sebring

Acute Care Hospitals · Sebring, FL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100109

Location4200 Sun N Lake BlvdSebring, FL 33872 · Highlands County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33870 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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 13

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

MR. MIKE LYNN NICKLESS CRNA

Nurse Anesthetist, Certified Registered