PATRICIA DOMINIQUE NP
NPI 1760914386
Nurse Practitioner - Gerontology in Boston, MA
About Patricia Dominique Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PATRICIA DOMINIQUE NP (NPI 1760914386) is an individual gerontology provider in Boston, Massachusetts, licensed in Massachusetts (RN268854) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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
Patricia Dominique Np 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 Reassignment
Medicare enrollment records show Patricia Dominique reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Boston, MA 02118
- Reassigned Medicare billing, Massachusetts enrollment
- 573 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 02118 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BOSTON, MA 02118
BOSTON, MA 02118
BOSTON, MA 02118
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 Patricia Dominique's NPI number?
The NPI number for Patricia Dominique is 1760914386. It was assigned to this individual provider in the NPPES registry on April 2, 2017.
Where is Patricia Dominique located?
Patricia Dominique practices at 801 Massachusetts Ave Crosstown 2nd Floor, Boston, MA 02118. The listed phone number is (617) 414-4376.
What is Patricia Dominique's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.
Is Patricia Dominique enrolled in Medicare?
Yes. Patricia Dominique 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 organization bills Medicare for Patricia Dominique's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Patricia Dominique reassigns Medicare benefits to Evans Medical Foundation, Inc. (Boston, MA). 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 Patricia Dominique's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Patricia Dominique accept?
Health plans from WellSense Health Plan list Patricia Dominique 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 Patricia Dominique was last updated on September 28, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Patricia Dominique, NP · NPI 1760914386
Gerontology physician in Boston, Massachusetts. Individual provider, active in the CMS NPPES registry since April 2, 2017.
## Identity
- **NPI:** 1760914386 (Entity type: Individual)
- **Enumerated:** April 2, 2017
- **Primary specialty:** Nurse Practitioner - Gerontology · taxonomy 363LG0600X
- **State license:** RN268854 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 801 MASSACHUSETTS AVE, CROSSTOWN 2ND FLOOR, Boston, MA 02118-2605
- **Phone:** (617) 414-4376 · **Fax:** (617) 414-4676
## 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:** Evans Medical Foundation, Inc. (NPI 1912954124, Boston, MA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** September 28, 2017
- **Other identifiers:** Medicaid 110122168A (MA)
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Source: [NPI Profile](https://npiprofile.com/npi/1760914386) · Data from the CMS NPPES public registry.