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MRS. DOMINIQUE GISELE GUILLAUME MSN, AGPCNP-BC
NPI 1780318014
Nurse Practitioner - Adult Health in Bowie, MD

Active since July 12, 2022PECOS Enrolled
4000 MITCHELLVILLE RD STE A406, BOWIE, MD 20716(301) 262-0400 Get Directions Write a Review

NPPES record last updated: January 4, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 4, 2023, Dec 30, 2022, Aug 6, 2022 and 1 more (4 updates tracked since 2022).

About Mrs. Dominique Gisele Guillaume Msn, Agpcnp-bc NPPES

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

MRS. DOMINIQUE GISELE GUILLAUME MSN, AGPCNP-BC (NPI 1780318014) is an individual adult health provider in Bowie, Maryland, licensed in Maryland (R215205) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780318014
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMRS. DOMINIQUE GISELE GUILLAUMECredential: MSN, AGPCNP-BC
Location Address4000 MITCHELLVILLE RD STE A406Bowie, MD 20716-3139
Mailing Address31 N Streeper StBaltimore, MD 21224-1250 · (770) 561-7965
Phone(301) 262-0400
Sole ProprietorNo
Enumeration DateJuly 12, 2022
Last NPPES UpdateJanuary 4, 20234 updates tracked since enumeration
NPPES CertifiedJanuary 4, 2023
✔ NPI 1780318014 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
Licenses✔ Licensed in MD · R215205✔ Licensed in GA · RN256248
4000 MITCHELLVILLE RD STE A406, Bowie, MD 20716
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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. Dominique Gisele Guillaume Msn, Agpcnp-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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20716 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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.

DAYDREAM SUNSHINE INITIATIVE
Internal Medicine (Infectious Disease)
4000 MITCHELLVILLE RD STE A406
BOWIE, MD 20716
Prince George's County (301) 262-0400

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 Dominique Guillaume's NPI number?

The NPI number for Dominique Guillaume is 1780318014. It was assigned to this individual provider in the NPPES registry on July 12, 2022.

Where is Dominique Guillaume located?

Dominique Guillaume practices at 4000 Mitchellville Rd Ste A406, Bowie, MD 20716. The listed phone number is (301) 262-0400.

What is Dominique Guillaume's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Dominique Guillaume enrolled in Medicare?

Yes. Dominique Guillaume is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Dominique Guillaume was last updated on January 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.