MRS. MARTHA DOMINGUEZ PICENO FNP
NPI 1770022899
Nurse Practitioner - Family in Madera, CA

Active since February 22, 2017PECOS Enrolled
1250 E. ALMOND AVE., MADERA, CA 93637(559) 675-5555 Get Directions Write a Review

NPPES record last updated: February 22, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mrs. Martha Dominguez Piceno Fnp NPPES

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

MRS. MARTHA DOMINGUEZ PICENO FNP (NPI 1770022899) is an individual family provider in Madera, California, licensed in California (95005448) and active in the NPI registry since February 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770022899
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. MARTHA DOMINGUEZ PICENOCredential: FNP
Location Address1250 E. ALMOND AVE.Madera, CA 93637
Mailing Address1250 E. Almond Ave.Madera, CA 93637 · (559) 675-5555
Sole ProprietorNo
Enumeration DateFebruary 22, 2017
NPI 1770022899 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in CA · 95005448
1250 E. ALMOND AVE., Madera, CA 93637

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mrs. Martha Dominguez Piceno Fnp 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93637 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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.

Referred Medical Equipment & Supplies CMS DME claims 8

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
10 suppliers61 claims151 services$6.25 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
9 suppliers31 claims50 services$1.18 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier41 claims41 services$16.23 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers48 claims48 services$79.76 avg. paid by Medicare
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620
DME-Drugs Administered Through DME · category DG006N
3 suppliers18 claims2,400 services$0.10 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier12 claims12 services$178.80 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1770022899, enumerated as an "individual" on February 22, 2017.

The provider is located at 1250 E. ALMOND AVE. MADERA, CA 93637 and the phone number is (559) 675-5555.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.