DOMINIQUE POPE PMHNP
NPI 1700591385
Nurse Practitioner - Psychiatric/Mental Health in Ellicott City, MD
About Dominique Pope Pmhnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DOMINIQUE POPE PMHNP (NPI 1700591385) is an individual psychiatric/mental health provider in Ellicott City, Maryland, licensed in Maryland (R210646) and active in the NPI registry since January 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Pikesville, and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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 Pope Pmhnp 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
2Medicare enrollment records show Dominique Pope reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Ellicott City, MD 21043
- Reassigned Medicare billing, Maryland enrollment
Brooklyn, MD 21225
- Reassigned Medicare billing, Maryland enrollment
- 3 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.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 21043 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
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ELLICOTT CITY, MD 21043
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 Pope's NPI number?
The NPI number for Dominique Pope is 1700591385. It was assigned to this individual provider in the NPPES registry on January 18, 2023.
Where is Dominique Pope located?
Dominique Pope practices at 4914 Orchard Dr, Ellicott City, MD 21043. The listed phone number is (443) 851-6992.
What is Dominique Pope's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Dominique Pope enrolled in Medicare?
Yes. Dominique Pope 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 Pope's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Dominique Pope reassigns Medicare benefits to 2 organizations: Grounded Guidance Psychiatry And Wellness, LLC (Ellicott City, MD) and Healthwell, Np LLC (Brooklyn, MD). 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 Pope'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 Dominique Pope was last updated on January 29, 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.
# Dominique Pope, PMHNP · NPI 1700591385
Psychiatric/Mental Health physician in Ellicott City, Maryland. Individual provider, active in the CMS NPPES registry since January 18, 2023.
## Identity
- **NPI:** 1700591385 (Entity type: Individual)
- **Enumerated:** January 18, 2023
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** R210646 (Maryland)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4914 ORCHARD DR, Ellicott City, MD 21043-6725
- **Phone:** (443) 851-6992
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Grounded Guidance Psychiatry And Wellness, LLC (NPI 1265207310, Ellicott City, MD); Healthwell, Np LLC (NPI 1467009423, Brooklyn, MD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** January 29, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1700591385) · Data from the CMS NPPES public registry.