DOMINIQUE SADE COLEY PMHNP-BC
NPI 1700424025
Nurse Practitioner - Psychiatric/Mental Health in Memphis, TN

Active since December 17, 2019PECOS EnrolledAccepts Medicare Assignment
4041 KNIGHT ARNOLD RD STE 100, MEMPHIS, TN 38118(901) 572-1573 Get Directions Write a Review

NPPES record last updated: August 8, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 8, 2025, Jan 23, 2023, Dec 17, 2019 (3 updates tracked since 2019).

About Dominique Sade Coley Pmhnp-bc NPPES

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

DOMINIQUE SADE COLEY PMHNP-BC (NPI 1700424025) is an individual psychiatric/mental health provider in Memphis, Tennessee, licensed in Colorado (C-APN.0004044-C-NP) and active in the NPI registry since December 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1700424025
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameDOMINIQUE SADE COLEYCredential: PMHNP-BC
Location Address4041 KNIGHT ARNOLD RD STE 100Memphis, TN 38118-2128
Mailing Address6825 E Tennessee Ave Ste 2-108Denver, CO 80224-1628 · (662) 612-0711
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateDecember 17, 2019
Last NPPES UpdateAugust 8, 20253 updates tracked since enumeration
NPPES CertifiedAugust 8, 2025
NPI 1700424025 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
Licenses Licensed in CO · C-APN.0004044-C-NP Licensed in LA · 209864
4041 KNIGHT ARNOLD RD STE 100, Memphis, TN 38118

Accepted 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

Dominique Sade Coley Pmhnp-bc 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 ID8325461353
PECOS Enrollment IDI20221208000342, I20230209000242
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 38118 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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 2

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

Nurse Practitioner (Women's Health)
4041 KNIGHT ARNOLD RD STE 100
MEMPHIS, TN 38118
Social Worker (Clinical)
4041 KNIGHT ARNOLD RD STE 100
MEMPHIS, TN 38118

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 Dominique Coley's NPI number?

The NPI number for Dominique Coley is 1700424025. It was assigned to this individual provider in the NPPES registry on December 17, 2019.

Where is Dominique Coley located?

Dominique Coley practices at 4041 Knight Arnold Rd Ste 100, Memphis, TN 38118. The listed phone number is (901) 572-1573.

What is Dominique Coley's specialty?

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

Is Dominique Coley enrolled in Medicare?

Yes. Dominique Coley 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.

What insurance does Dominique Coley accept?

Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage, Octave, Oscar Health Plan, Inc. and Oscar Insurance Company and 2 other insurers list Dominique Coley 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 Dominique Coley was last updated on August 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.