LISSETTE DOMINGUEZ APRN
NPI 1710505482
Nurse Practitioner - Family in Miami, FL
About Lissette Dominguez Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LISSETTE DOMINGUEZ APRN (NPI 1710505482) is an individual family provider in Miami, Florida, licensed in Florida (11006296) and active in the NPI registry since July 2020. 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
Lissette 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.
Medicare Billing Reassignments
2Medicare enrollment records show Lissette Dominguez reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Miami, FL 33175
- Reassigned Medicare billing, Florida enrollment
- Medicare enrollment name: Golden Years Behavioral Center Corp
- 5 clinicians in this Medicare group
Miami, FL 33193
- Reassigned Medicare billing, Florida enrollment
- 2 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 33172 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Lissette Dominguez's NPI number?
The NPI number for Lissette Dominguez is 1710505482. It was assigned to this individual provider in the NPPES registry on July 9, 2020.
Where is Lissette Dominguez located?
Lissette Dominguez practices at 11126 NW 4th Ter, Miami, FL 33172. The listed phone number is (059) 109-5993.
What is Lissette Dominguez's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Lissette Dominguez enrolled in Medicare?
Yes. Lissette Dominguez 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 Lissette Dominguez's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lissette Dominguez reassigns Medicare benefits to 2 organizations: Golden Years Behavior Center Corp (Miami, FL) and Cosme Medical Center LLC (Miami, FL). 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 Lissette Dominguez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Lissette Dominguez accept?
Health plans from Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Lissette Dominguez 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 Lissette Dominguez was last updated on July 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Lissette Dominguez, APRN · NPI 1710505482
Family physician in Miami, Florida. Individual provider, active in the CMS NPPES registry since July 9, 2020.
## Identity
- **NPI:** 1710505482 (Entity type: Individual)
- **Enumerated:** July 9, 2020
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 11006296 (Florida)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 11126 NW 4TH TER, Miami, FL 33172-3639
- **Phone:** (059) 109-5993
## 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): Golden Years Behavior Center Corp (NPI 1437898236, Miami, FL); Cosme Medical Center LLC (NPI 1609605328, Miami, FL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** July 9, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1710505482) · Data from the CMS NPPES public registry.