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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: November 08, 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.

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
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 Sunflower Health Plan, Ambetter Health, Ambetter of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Domonique Louis reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cerebral Unlimited LLC
374 mi
Clinic/Center
7127 W 110TH ST
Overland Park, KS 66210
  • Reassigned Medicare billing, Kansas enrollment
  • 2 clinicians in this Medicare group
NPI 1336939693 (409) 916-7999
Affect Therapeutics, Inc.
519 mi
Adult Mental Health
507 RICHLAND AVE STE 105
Athens, OH 45701
  • Reassigned Medicare billing, Ohio, California, Tennessee and Texas enrollments
  • Also billed through NPI 1104402064 (Texas)
  • 13 clinicians in this Medicare group
NPI 1528878832 (845) 769-8758

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 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.

Which organizations bill Medicare for Domonique Louis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Domonique Louis reassigns Medicare benefits to 2 organizations: Cerebral Unlimited LLC (Overland Park, KS) and Affect Therapeutics, Inc. (Athens, OH). 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 Domonique Louis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Domonique Louis accept?

Health plans from Ambetter Health, Ambetter from Sunflower Health Plan, Ambetter of Oklahoma, Anthem Blue Cross and Blue Shield and Blue Cross and Blue Shield of Kansas City and 6 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 21 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.