DOMINIQUE SADE COLEY PMHNP-BC
NPI 1700424025
Nurse Practitioner - Psychiatric/Mental Health in Memphis, TN
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
Specialties & Licenses
Accepted 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
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.
Medicare Billing Reassignments
7Medicare enrollment records show Dominique Coley reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Memphis, TN 38118
- Reassigned Medicare billing, Tennessee enrollment
- 33 clinicians in this Medicare group
Memphis, TN 38116
- Reassigned Medicare billing, Tennessee enrollment
- 72 clinicians in this Medicare group
Jonesboro, AR 72401
- Reassigned Medicare billing, Arkansas enrollment
- 318 clinicians in this Medicare group
Siloam Springs, AR 72761
- Reassigned Medicare billing, Arkansas enrollment
- 78 clinicians in this Medicare group
New Orleans, LA 70125
- Reassigned Medicare billing, Louisiana enrollment
- 30 clinicians in this Medicare group
Miami, FL 33130
- Reassigned Medicare billing, Arizona, Colorado, District of Columbia, Delaware, Louisiana, Mississippi, New Mexico, New York, Tennessee, Texas and Washington enrollments
- 532 clinicians in this Medicare group
San Jose, CA 95113
- Reassigned Medicare billing, California enrollment
- 3,139 clinicians in this Medicare group
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 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.
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.
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.
Which organizations bill Medicare for Dominique Coley's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Dominique Coley reassigns Medicare benefits to 7 organizations: Tri State Community Health Center (Memphis, TN), Step Up Care Of Tennessee LLC (Memphis, TN), St Bernards Hospital Inc. (Jonesboro, AR), Supportive Psych Care Of Arkansas PA (Siloam Springs, AR), Upward Health Of La Professional Medical Corporation (New Orleans, LA) and 2 more organizations, listed in the Medicare section above. 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 Dominique Coley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Dominique Coley accept?
Health plans from Arkansas Blue Cross and Blue Shield, Blue Cross and Blue Shield of Texas, Health Advantage, Octave and Oscar Health Plan, Inc. 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 14 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.
# Dominique Sade Coley, PMHNP-BC · NPI 1700424025
Psychiatric/Mental Health physician in Memphis, Tennessee. Individual provider, active in the CMS NPPES registry since December 17, 2019.
## Identity
- **NPI:** 1700424025 (Entity type: Individual)
- **Enumerated:** December 17, 2019
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** C-APN.0004044-C-NP (Colorado)
- **Sole proprietor:** No
## Practice location
- **Address:** 4041 KNIGHT ARNOLD RD STE 100, Memphis, TN 38118-2128
- **Phone:** (901) 572-1573
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 7 organizations under Medicare reassignment (form CMS-855R): Tri State Community Health Center (NPI 1285002634, Memphis, TN); Step Up Care Of Tennessee LLC (NPI 1023660206, Memphis, TN); St Bernards Hospital Inc. (NPI 1396053096, Jonesboro, AR); Supportive Psych Care Of Arkansas PA (NPI 1437887437, Siloam Springs, AR); Upward Health Of La Professional Medical Corporation (NPI 1750120119, New Orleans, LA); and 2 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** August 8, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1700424025) · Data from the CMS NPPES public registry.