PATRICIA DOMINIQUE NP
NPI 1760914386
Nurse Practitioner - Gerontology in Boston, MA

Q: 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.

Q: What is Patricia Dominique's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Active since April 02, 2017PECOS EnrolledAccepts Medicare Assignment

801 MASSACHUSETTS AVE, CROSSTOWN 2ND FLOOR, BOSTON, MA 02118(617) 414-4376(617) 414-4676 Get Directions Write a Review

NPPES record last updated: September 28, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 11, 2017, Apr 2, 2017 (2 updates tracked since 2017).

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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

NPI1760914386

Entity TypeIndividualFemale

Primary Taxonomy363LG0600X

Provider Legal NamePATRICIA DOMINIQUECredential: NP

Location Address801 MASSACHUSETTS AVE, CROSSTOWN 2ND FLOORBoston, MA 02118-2605

Mailing Address720 Harrison Ave.,, Dob 503Boston, MA 02118

Phone(617) 414-4376

Fax(617) 414-4676

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateApril 2, 2017

Last NPPES UpdateSeptember 28, 20172 updates tracked since enumeration

✔ NPI 1760914386 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

License✔ Licensed in MA · RN268854

801 MASSACHUSETTS AVE, Boston, MA 02118

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Other Identifiers 1

Medicaid110122168AMA

Medicare Participation & PECOS CMS

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

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.

PECOS PAC ID6002183589

PECOS Enrollment IDI20170605002167

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 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.

New Patient

$97.64 typical visit price

range $63.72 – $189.86

Typical copayment $24.41 (range $15.93 – $47.46)

Most-billed visit code 99203

Established Patient

$111.18 typical visit price

range $21.07 – $155.29

Typical copayment $27.79 (range $5.26 – $38.82)

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 20

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

DR. SANDHYA D RAO MD

Internal Medicine (Hospice and Palliative Medicine)