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MRS. JESSICA MARIE DOMIRE APRN
NPI 1790293116
Nurse Practitioner in Malta, MT

Active since January 19, 2018PECOS Enrolled
140 S CENTRAL AVE, MALTA, MT 59538(406) 654-1953 Get Directions Write a Review

NPPES record last updated: March 17, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 17, 2021, Aug 9, 2019, Aug 2, 2019 and 1 more (4 updates tracked since 2018).

About Mrs. Jessica Marie Domire Aprn NPPES

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

MRS. JESSICA MARIE DOMIRE APRN (NPI 1790293116) is an individual nurse practitioner in Malta, Montana, licensed in Montana (NUR-APRN-LIC-146098) and active in the NPI registry since January 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in Malta.

NPPES Registry Identity

NPI1790293116
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMRS. JESSICA MARIE DOMIRECredential: APRN
Location Address140 S CENTRAL AVEMalta, MT 59538
Mailing AddressPo Box 581Malta, MT 59538-0581 · (406) 301-2357
Phone(406) 654-1953
Sole ProprietorYes
Enumeration DateJanuary 19, 2018
Last NPPES UpdateMarch 17, 20224 updates tracked since enumeration
NPPES CertifiedMarch 5, 2022
✔ NPI 1790293116 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MT · NUR-APRN-LIC-146098
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License NUR-APRN-LIC-146098 (MT)
140 S CENTRAL AVE, Malta, MT 59538
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Secondary Practice Location 1

Location 1830 S Central AveMalta, MT 59538 · Phone (406) 654-1953

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. Jessica Marie Domire Aprn 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 59538 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
$87.97 typical visit price
range $56.81 – $172.26
Typical copayment $21.99 (range $14.20 – $43.06)
Most-billed visit code 99203
Established Patient
$100.16 typical visit price
range $18.24 – $140.32
Typical copayment $25.04 (range $4.56 – $35.08)
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.

JESS NP FAMILY HEALTHCARE
Clinic/Center
140 S CENTRAL AVE
MALTA, MT 59538
Phillips County (406) 654-1953

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 Jessica Domire's NPI number?

The NPI number for Jessica Domire is 1790293116. It was assigned to this individual provider in the NPPES registry on January 19, 2018.

Where is Jessica Domire located?

Jessica Domire practices at 140 S Central Ave, Malta, MT 59538. The listed phone number is (406) 654-1953.

What is Jessica Domire's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Jessica Domire enrolled in Medicare?

Yes. Jessica Domire is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jessica Domire was last updated on March 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.