DOMINIQUE MICHELLE GIVENS DNP, APRN, FNP-C
NPI 1679416291
Nurse Practitioner - Family in Jacksonville, FL

Q: What is Dominique Givens's NPI number?

The NPI number for Dominique Givens is 1679416291. It was assigned to this individual provider in the NPPES registry on April 9, 2026.

Q: What is Dominique Givens's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Dominique Givens was last updated on May 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since April 09, 2026PECOS Enrolled

4475 SAN JUAN AVE, JACKSONVILLE, FL 32210(904) 389-0314(904) 387-5496 Get Directions Write a Review

NPPES record last updated: May 14, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 14, 2026, Apr 9, 2026 (2 updates tracked since 2026).

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About Dominique Michelle Givens Dnp, Aprn, Fnp-c NPPES

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

DOMINIQUE MICHELLE GIVENS DNP, APRN, FNP-C (NPI 1679416291) is an individual family provider in Jacksonville, Florida, licensed in Florida (11045449) and active in the NPI registry since April 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679416291

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameDOMINIQUE MICHELLE GIVENSCredential: DNP, APRN, FNP-C

Location Address4475 SAN JUAN AVEJacksonville, FL 32210-3357

Mailing Address4475 San Juan AveJacksonville, FL 32210-3357

Phone(904) 389-0314

Fax(904) 387-5496

Sole ProprietorNo

Enumeration DateApril 9, 2026

Last NPPES UpdateMay 14, 20262 updates tracked since enumeration

NPPES CertifiedMay 14, 2026

✔ NPI 1679416291 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in FL · 11045449

4475 SAN JUAN AVE, Jacksonville, FL 32210

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dominique Michelle Givens Dnp, Aprn, Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32210 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.

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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.

MRS. SHANNON RENEE CHAPPELL APRN

Nurse Practitioner (Family)