MR. DAVID ANTHONY DOMINGUEZ APRN
NPI 1689772469
Nurse Practitioner - Psychiatric/Mental Health in Junction City, KS

Q: What is David Dominguez's NPI number?

The NPI number for David Dominguez is 1689772469. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Q: What is David Dominguez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for David Dominguez was last updated on April 6, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since September 20, 2006PECOS EnrolledAccepts Medicare Assignment

814 CAROLINE AVE, JUNCTION CITY, KS 66441(785) 762-5250(785) 762-2144 Get Directions Write a Review

NPPES record last updated: April 6, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Mr. David Anthony Dominguez Aprn NPPES

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

MR. DAVID ANTHONY DOMINGUEZ APRN (NPI 1689772469) is an individual psychiatric/mental health provider in Junction City, Kansas, licensed in North Carolina (112063) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2001).

NPPES Registry Identity

NPI1689772469

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameMR. DAVID ANTHONY DOMINGUEZCredential: APRN

Location Address814 CAROLINE AVEJunction City, KS 66441-5210

Mailing Address814 Caroline AveJunction City, KS 66441-5210 · (785) 762-5250 · Fax (785) 762-2144

Phone(785) 762-5250

Fax(785) 762-2144

Sole ProprietorNo

Medical School CMSOtherGraduated 2001

Enumeration DateSeptember 20, 2006

Last NPPES UpdateApril 6, 2018

✔ NPI 1689772469 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in NC · 112063

814 CAROLINE AVE, Junction City, KS 66441

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Other Identifiers 1

Medicaid6005013NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.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

Mr. David Anthony 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 ID4880868702

PECOS Enrollment IDI20121228000382

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 66441 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

$81.98 typical visit price

range $53.00 – $161.67

Typical copayment $20.49 (range $13.25 – $40.41)

Most-billed visit code 99203

Established Patient

$94.12 typical visit price

range $16.88 – $132.11

Typical copayment $23.53 (range $4.22 – $33.02)

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.

VANESSA S. JONES LMSW

Social Worker (Clinical)