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MICHELLE ASHLEY DOMINGUEZ APRN
NPI 1699548008
Nurse Practitioner - Psychiatric/Mental Health in Winter Park, FL

Active since November 07, 2023PECOS EnrolledAccepts Medicare Assignment
1573 W FAIRBANKS AVE STE 100, WINTER PARK, FL 32789(407) 896-8097 Get Directions Write a Review

NPPES record last updated: May 9, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 9, 2024, Nov 7, 2023 (2 updates tracked since 2023).

About Michelle Ashley Dominguez Aprn NPPES

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

MICHELLE ASHLEY DOMINGUEZ APRN (NPI 1699548008) is an individual psychiatric/mental health provider in Winter Park, Florida, licensed in Florida (11029394) and active in the NPI registry since November 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1699548008
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMICHELLE ASHLEY DOMINGUEZCredential: APRN
Location Address1573 W FAIRBANKS AVE STE 100Winter Park, FL 32789-4679
Mailing Address393 Copperstone CirCasselberry, FL 32707-5861 · (407) 312-3905
Phone(407) 896-8097
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateNovember 7, 2023
Last NPPES UpdateMay 9, 20242 updates tracked since enumeration
NPPES CertifiedMay 9, 2024
✔ NPI 1699548008 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 FL · 11029394
1573 W FAIRBANKS AVE STE 100, Winter Park, FL 32789
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Cigna HealthCare of Florida, Inc., Oscar Health Maintenance Organization of Florida 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

Michelle Ashley 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 ID3274974886
PECOS Enrollment IDI20240514002984
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 Michelle Dominguez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Florida Hospital Medical Group Inc
3.3 mi
Family Medicine
1115 E RIDGEWOOD ST
Orlando, FL 32803
  • Reassigned Medicare billing, Florida enrollment
  • 3,005 clinicians in this Medicare group
NPI 1225034234 (407) 841-1100

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32789 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 20

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

ALLISON NICHOL LCSW
Social Worker (Clinical)
1573 W FAIRBANKS AVE STE 100
WINTER PARK, FL 32789
Orange County (407) 896-8097
STEPHANIE JACQUES LMHC
Counselor (Mental Health)
1573 W FAIRBANKS AVE STE 100
WINTER PARK, FL 32789
Orange County (407) 896-8097
NERILYN ROSARIO LMHC
Counselor (Mental Health)
1573 W FAIRBANKS AVE STE 100
WINTER PARK, FL 32789
Orange County (407) 896-8097
DR. KEVIN VANKORLAAR LMHC
Counselor (Mental Health)
1573 W FAIRBANKS AVE STE 100
WINTER PARK, FL 32789
Orange County (407) 896-8097
SHIRLEY RIBEIRO DE SOUZA MANETTA PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
1573 W FAIRBANKS AVE STE 100
WINTER PARK, FL 32789
Orange County (407) 896-8097
HARJASLEEN BHULLAR YADAV MBBS
Psychiatry & Neurology (Psychiatry)
1573 W FAIRBANKS AVE STE 100
WINTER PARK, FL 32789
Orange County (407) 896-8097
DARCY FRITZ LCSW
Social Worker (Clinical)
1573 W FAIRBANKS AVE STE 100
WINTER PARK, FL 32789
Orange County (407) 896-8097
EMMA EBEL
Physician Assistant
1573 W FAIRBANKS AVE STE 100
WINTER PARK, FL 32789
Orange County (407) 896-8097

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michelle Dominguez's NPI number?

The NPI number for Michelle Dominguez is 1699548008. It was assigned to this individual provider in the NPPES registry on November 7, 2023.

Where is Michelle Dominguez located?

Michelle Dominguez practices at 1573 W Fairbanks Ave Ste 100, Winter Park, FL 32789. The listed phone number is (407) 896-8097.

What is Michelle Dominguez's specialty?

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

Is Michelle Dominguez enrolled in Medicare?

Yes. Michelle Dominguez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Michelle Dominguez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michelle Dominguez reassigns Medicare benefits to Florida Hospital Medical Group Inc (Orlando, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michelle Dominguez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michelle Dominguez accept?

Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare, Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Michelle Dominguez as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Michelle Dominguez was last updated on May 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.