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MARA J DOMINGUEZ NP-C
NPI 1700268745
Nurse Practitioner in North Chesterfield, VA

Active since June 26, 2015PECOS Enrolled
2740 BENSLEY COMMONS BLVD, NORTH CHESTERFIELD, VA 23237(804) 780-0840 Get Directions Write a Review

NPPES record last updated: June 2, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mara J Dominguez Np-c NPPES

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

MARA J DOMINGUEZ NP-C (NPI 1700268745) is an individual nurse practitioner in North Chesterfield, Virginia, licensed in Virginia (0024172699) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700268745
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMARA J DOMINGUEZCredential: NP-C
Location Address2740 BENSLEY COMMONS BLVDNorth Chesterfield, VA 23237-1723
Mailing Address2740 Bensley Commons BlvdNorth Chesterfield, VA 23237-1723 · (804) 780-0840
Phone(804) 780-0840
Sole ProprietorNo
Enumeration DateJune 26, 2015
Last NPPES UpdateJune 2, 2016
✔ NPI 1700268745 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in VA · 0024172699
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
2740 BENSLEY COMMONS BLVD, North Chesterfield, VA 23237
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mara J Dominguez Np-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.

Medicare Billing Reassignments

2

Medicare enrollment records show Mara Dominguez reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Vernon J Harris East End Community Health Center
Same address
Federally Qualified Health Center (FQHC)
2740 BENSLEY COMMONS BLVD
North Chesterfield, VA 23237
  • Reassigned Medicare billing, Virginia enrollment
  • 44 clinicians in this Medicare group
NPI 1710225818 (804) 780-0840
Fredericksburg Area Health And Support Services
57 mi
Family
10514 WAKEMAN DR
Fredericksburg, VA 22407
  • Reassigned Medicare billing, Virginia enrollment
  • Medicare enrollment name: Fredericksburg Area Hiv/Aids Support Services (Fahass)
  • 4 clinicians in this Medicare group
NPI 1104170398 (540) 907-4555

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 23237 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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

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

VERNON J HARRIS EAST END COMMUNITY HEALTH CENTER
Clinic/Center (Federally Qualified Health Center (FQHC))
2740 BENSLEY COMMONS BLVD
NORTH CHESTERFIELD, VA 23237
Chesterfield County (804) 780-0840

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 Mara Dominguez's NPI number?

The NPI number for Mara Dominguez is 1700268745. It was assigned to this individual provider in the NPPES registry on June 26, 2015.

Where is Mara Dominguez located?

Mara Dominguez practices at 2740 Bensley Commons Blvd, North Chesterfield, VA 23237. The listed phone number is (804) 780-0840.

What is Mara Dominguez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Mara Dominguez enrolled in Medicare?

Yes. Mara Dominguez is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Mara Dominguez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mara Dominguez reassigns Medicare benefits to 2 organizations: Vernon J Harris East End Community Health Center (North Chesterfield, VA) and Fredericksburg Area Health And Support Services (Fredericksburg, VA). Each 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 Mara Dominguez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mara Dominguez was last updated on June 2, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.