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JENNIFER PADERO DOMINGO
NPI 1790647782
Nurse Practitioner in Chicago, IL

Active since November 27, 2025PECOS EnrolledAccepts Medicare Assignment
1544 W CHICAGO AVE, CHICAGO, IL 60642(773) 232-2300 Get Directions Write a Review

NPPES record last updated: November 27, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jennifer Padero Domingo NPPES

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

JENNIFER PADERO DOMINGO (NPI 1790647782) is an individual nurse practitioner in Chicago, Illinois, licensed in Illinois (209.033597) and active in the NPI registry since November 2025. The provider is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1790647782
Entity TypeIndividual
Primary Taxonomy363L00000X
Provider Legal NameJENNIFER PADERO DOMINGO
Location Address1544 W CHICAGO AVEChicago, IL 60642-5236
Mailing Address1544 W Chicago AveChicago, IL 60642-5236
Phone(773) 232-2300
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateNovember 27, 2025
NPPES CertifiedNovember 26, 2025
✔ NPI 1790647782 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in IL · 209.033597
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.
1544 W CHICAGO AVE, Chicago, IL 60642
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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 and accepts Medicare assignment

Jennifer Padero Domingo 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 ID9335627678
PECOS Enrollment IDI20260129000652
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 60642 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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 6

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

FARHEEN SHAH-KHAN MD
Internal Medicine (Nephrology)
1544 W CHICAGO AVE
CHICAGO, IL 60642
Cook County (773) 232-2300
ROLANDO SUBIJANO FNP-C
Nurse Practitioner (Family)
1544 W CHICAGO AVE
CHICAGO, IL 60642
Cook County (773) 232-2300
SHIFA NEPHROLOGY ASSOCIATES LLC
Internal Medicine (Nephrology)
1544 W CHICAGO AVE
CHICAGO, IL 60642
Cook County (773) 232-2300
ALOWONLE MUDASHIR AWEDA
Nurse Practitioner
1544 W CHICAGO AVE
CHICAGO, IL 60642
Cook County (773) 232-2300
SHIFA NURSING HOME KIDNEY CARE LLC
Internal Medicine (Nephrology)
1544 W CHICAGO AVE
CHICAGO, IL 60642
Cook County (773) 232-2300
ELINA MUKMINEVA
Dietitian, Registered
1544 W CHICAGO AVE
CHICAGO, IL 60642
Cook County (773) 232-2300

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 Jennifer Domingo's NPI number?

The NPI number for Jennifer Domingo is 1790647782. It was assigned to this individual provider in the NPPES registry on November 27, 2025.

Where is Jennifer Domingo located?

Jennifer Domingo practices at 1544 W Chicago Ave, Chicago, IL 60642. The listed phone number is (773) 232-2300.

What is Jennifer Domingo's specialty?

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

Is Jennifer Domingo enrolled in Medicare?

Yes. Jennifer Domingo 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.

When was this NPI record last updated?

The NPPES record for Jennifer Domingo was last updated on November 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.