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DOMONIQUE LOUIS PMHNP-BC
NPI 1720663701
Nurse Practitioner - Psychiatric/Mental Health in Memphis, TN

Active since March 11, 2021PECOS Enrolled
2502 MOUNT MORIAH RD STE A101, MEMPHIS, TN 38115(800) 892-2695 Get Directions Write a Review

NPPES record last updated: February 5, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 5, 2025, Jul 25, 2022, Mar 11, 2021 (3 updates tracked since 2021).

About Domonique Louis Pmhnp-bc NPPES

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

DOMONIQUE LOUIS PMHNP-BC (NPI 1720663701) is an individual psychiatric/mental health provider in Memphis, Tennessee, licensed in Tennessee (29321) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1720663701
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameDOMONIQUE LOUISCredential: PMHNP-BC
Location Address2502 MOUNT MORIAH RD STE A101Memphis, TN 38115-1539
Mailing Address8 The Grn Ste 4000Dover, DE 19901-3618 · (844) 869-4625
Phone(800) 892-2695
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMarch 11, 2021
Last NPPES UpdateFebruary 5, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 5, 2025
✔ NPI 1720663701 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 TN · 29321✔ Licensed in IA · G166642✔ Licensed in NM · 64857✔ Licensed in CA · 95019437✔ Licensed in WA · AP61249213✔ Licensed in PA · SP026176✔ Licensed in TX · 104470
2502 MOUNT MORIAH RD STE A101, Memphis, TN 38115
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Domonique Louis Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7416354378
PECOS Enrollment IDI20250708004073, I20250811001986
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 38115 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

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

GOAL MIND INC.
Psychiatry & Neurology (Psychiatry)
2502 MOUNT MORIAH RD STE A101
MEMPHIS, TN 38115
Shelby County (844) 869-4625

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 Domonique Louis's NPI number?

The NPI number for Domonique Louis is 1720663701. It was assigned to this individual provider in the NPPES registry on March 11, 2021.

Where is Domonique Louis located?

Domonique Louis practices at 2502 Mount Moriah Rd Ste A101, Memphis, TN 38115. The listed phone number is (800) 892-2695.

What is Domonique Louis's specialty?

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

Is Domonique Louis enrolled in Medicare?

Yes. Domonique Louis is registered in the Medicare PECOS enrollment system.

What insurance does Domonique Louis accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Cross and Blue Shield of Kansas City and Blue Cross and Blue Shield of Texas and 5 other insurers list Domonique Louis 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 Domonique Louis was last updated on February 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.