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ASHLEY DOMETRIUS CPNP-PC
NPI 1730540097
Nurse Practitioner - Pediatrics in Lubbock, TX

Active since March 15, 2016PECOS Enrolled
10507 QUAKER AVE UNIT 105, LUBBOCK, TX 79424(806) 450-9775(806) 696-6431 Get Directions Write a Review

NPPES record last updated: May 26, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 26, 2026, Mar 15, 2016 (2 updates tracked since 2016).

About Ashley Dometrius Cpnp-pc NPPES

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

ASHLEY DOMETRIUS CPNP-PC (NPI 1730540097) is an individual pediatrics provider in Lubbock, Texas, licensed in Texas (AP130554) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730540097
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameASHLEY DOMETRIUSCredential: CPNP-PC
Location Address10507 QUAKER AVE UNIT 105Lubbock, TX 79424-8441
Mailing Address10507 Quaker Ave Unit 105Lubbock, TX 79424-8441 · (806) 450-9775 · Fax (806) 696-6431
Phone(806) 450-9775
Fax(806) 696-6431
Sole ProprietorNo
Enumeration DateMarch 15, 2016
Last NPPES UpdateMay 26, 20262 updates tracked since enumeration
NPPES CertifiedMay 26, 2026
✔ NPI 1730540097 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in TX · AP130554
10507 QUAKER AVE UNIT 105, Lubbock, TX 79424
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ashley Dometrius Cpnp-pc 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 Reassignment

Medicare enrollment records show Ashley Dometrius reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Immersiv Health Of Texas, PLLC
339 mi
Infectious Disease
1180 SETON PKWY STE 310
Kyle, TX 78640
  • Reassigned Medicare billing, Texas enrollment
  • 9 clinicians in this Medicare group
NPI 1336035872 (877) 551-6650

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 79424 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

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 Ashley Dometrius's NPI number?

The NPI number for Ashley Dometrius is 1730540097. It was assigned to this individual provider in the NPPES registry on March 15, 2016.

Where is Ashley Dometrius located?

Ashley Dometrius practices at 10507 Quaker Ave Unit 105, Lubbock, TX 79424. The listed phone number is (806) 450-9775.

What is Ashley Dometrius's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Ashley Dometrius enrolled in Medicare?

Yes. Ashley Dometrius is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ashley Dometrius's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ashley Dometrius reassigns Medicare benefits to Immersiv Health Of Texas, PLLC (Kyle, TX). The 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 Ashley Dometrius's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ashley Dometrius accept?

Health plans from Blue Cross and Blue Shield of Texas and Oscar Insurance Company list Ashley Dometrius 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 Ashley Dometrius was last updated on May 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.