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

Q: What is the provider's specialty?

The provider's specialty is Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.

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: July 19, 2026.

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

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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

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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

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.

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.