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LISA MARY DOMINACH ARNP
NPI 1811232515
Nurse Practitioner - Adult Health in Port Charlotte, FL

Active since December 06, 2012PECOS Enrolled
2335 AARON ST, PORT CHARLOTTE, FL 33952(855) 979-5700(855) 979-5701 Get Directions Write a Review

NPPES record last updated: March 18, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lisa Mary Dominach Arnp NPPES

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

LISA MARY DOMINACH ARNP (NPI 1811232515) is an individual adult health provider in Port Charlotte, Florida, licensed in Florida (ARNP9360998) and active in the NPI registry since December 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811232515
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameLISA MARY DOMINACHCredential: ARNP
Location Address2335 AARON STPort Charlotte, FL 33952-5305
Mailing Address3434 Hancock Bridge Pkwy, Ste 301North Fort Myers, FL 33904-7094 · (877) 856-3774 · Fax (239) 599-2612
Phone(855) 979-5700
Fax(855) 979-5701
Sole ProprietorNo
Enumeration DateDecember 6, 2012
Last NPPES UpdateMarch 18, 2016
✔ NPI 1811232515 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in FL · ARNP9360998
Also ListedNurse PractitionerTaxonomy 363L00000X · License 26NJ00408700 (NJ)
2335 AARON ST, Port Charlotte, FL 33952
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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)

Lisa Mary Dominach Arnp 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 33952 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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 2

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

SKILLED NURSING CARE MEDICAL GROUP LLC
Family Medicine (Adult Medicine)
2335 AARON ST
PORT CHARLOTTE, FL 33952
Charlotte County (855) 670-7400
TIMOTHY FRANCIS PA
Physician Assistant
2335 AARON ST
PORT CHARLOTTE, FL 33952
Charlotte County (855) 979-5700

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 Lisa Dominach's NPI number?

The NPI number for Lisa Dominach is 1811232515. It was assigned to this individual provider in the NPPES registry on December 6, 2012.

Where is Lisa Dominach located?

Lisa Dominach practices at 2335 Aaron St, Port Charlotte, FL 33952. The listed phone number is (855) 979-5700.

What is Lisa Dominach's specialty?

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

Is Lisa Dominach enrolled in Medicare?

Yes. Lisa Dominach is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lisa Dominach was last updated on March 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.