JENNIFER PADERO DOMINGO
NPI 1790647782
Nurse Practitioner in Chicago, IL
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
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Jennifer Domingo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Chicago, IL 60642
- Reassigned Medicare billing, Illinois enrollment
- 15 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
CHICAGO, IL 60642
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.
Which organization bills Medicare for Jennifer Domingo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Domingo reassigns Medicare benefits to Shifa Nephrology Associates LLC (Chicago, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jennifer Domingo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jennifer Domingo accept?
Health plans from Ambetter Health and Ambetter Health of Delaware list Jennifer Domingo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
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 11 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.
# Jennifer Padero Domingo · NPI 1790647782
Nurse Practitioner physician in Chicago, Illinois. Individual provider, active in the CMS NPPES registry since November 27, 2025.
## Identity
- **NPI:** 1790647782 (Entity type: Individual)
- **Enumerated:** November 27, 2025
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 209.033597 (Illinois)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1544 W CHICAGO AVE, Chicago, IL 60642-5236
- **Phone:** (773) 232-2300
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Shifa Nephrology Associates LLC (NPI 1487955878, Chicago, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** November 27, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1790647782) · Data from the CMS NPPES public registry.