KEISEY KATHLEEN DOMBROWSKI AA
NPI 1699447961
Anesthesiologist Assistant in Jacksonville, FL

Q: What is Keisey Dombrowski's NPI number?

The NPI number for Keisey Dombrowski is 1699447961. It was assigned to this individual provider in the NPPES registry on October 4, 2021.

Q: What is Keisey Dombrowski's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Q: When was this NPI record last updated?

The NPPES record for Keisey Dombrowski was last updated on December 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 October 04, 2021Accepts Medicare Assignment

80.25/100

CMS Quality Rating

800 PRUDENTIAL DR, JACKSONVILLE, FL 32207(904) 202-2000 Get Directions Write a Review

NPPES record last updated: December 6, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 6, 2022, Feb 9, 2022, Oct 4, 2021 (3 updates tracked since 2021).

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About Keisey Kathleen Dombrowski Aa NPPES

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

KEISEY KATHLEEN DOMBROWSKI AA (NPI 1699447961) is an individual anesthesiologist assistant in Jacksonville, Florida, licensed in Florida (AA709) and active in the NPI registry since October 2021. She is affiliated with Baptist Health Medical Center - Jacksonville and is a graduate of Other (2021).

NPPES Registry Identity

NPI1699447961

Entity TypeIndividualFemale

Primary Taxonomy367H00000X

Provider Legal NameKEISEY KATHLEEN DOMBROWSKICredential: AA

Location Address800 PRUDENTIAL DRJacksonville, FL 32207-8211

Mailing Address10233 Malpas PtOrlando, FL 32832-6158 · (407) 491-6505

Phone(904) 202-2000

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateOctober 4, 2021

Last NPPES UpdateDecember 6, 20223 updates tracked since enumeration

NPPES CertifiedDecember 6, 2022

✔ NPI 1699447961 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367H00000X

License✔ Licensed in FL · AA709

Definition

An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.

800 PRUDENTIAL DR, Jacksonville, FL 32207

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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 and accepts Medicare assignment

Keisey Kathleen Dombrowski Aa 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 ID8426441353

PECOS Enrollment IDI20220216002778

Areas of Expertise CMS Part B claims

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.

Anesthesia for other procedure on top of arm bone and shoulder joint 01630

Anesthesia for a procedure on the arm bone or shoulder joint involves using medication to numb the area or make you unconscious during surgery. This ensures you feel no pain during the procedure. It's a common and safe practice in medical surgeries.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

Baptist Health Medical Center - Jacksonville

Acute Care Hospitals · Jacksonville, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100088

Location800 Prudential DrJacksonville, FL 32207 · Duval County

Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

80.25/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

83.44

Improvement Activities

Cost

64.53

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

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