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MRS. DOMINIQUE M. LY FNP
NPI 1821151143
Nurse Practitioner - Family in Gilroy, CA

Active since December 18, 2006PECOS Enrolled
80.58/100
CMS Quality Rating
7933 WREN AVE, SUITE D, GILROY, CA 95020(408) 847-1739(408) 847-5146 Get Directions Write a Review

NPPES record last updated: July 25, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mrs. Dominique M. Ly Fnp NPPES

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

MRS. DOMINIQUE M. LY FNP (NPI 1821151143) is an individual family provider in Gilroy, California, licensed in California (NP 15986) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1821151143
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. DOMINIQUE M. LYCredential: FNP
Location Address7933 WREN AVE, SUITE DGilroy, CA 95020-4996
Mailing Address1691 The AlamedaSan Jose, CA 95126-2203 · (408) 287-7532 · Fax (408) 287-0405
Phone(408) 847-1739
Fax(408) 847-5146
Sole ProprietorNo
Enumeration DateDecember 18, 2006
Last NPPES UpdateJuly 25, 2007
✔ NPI 1821151143 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · NP 15986
7933 WREN AVE, Gilroy, CA 95020
Open in Google Maps ↗

Other Names 1

Former Name (1)Miss Maithao Khanh Dinh Fnp

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Dominique M. Ly Fnp 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.

Medicare Billing Reassignment

Medicare enrollment records show Dominique Ly reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

County Of Santa Clara
1.7 mi
Federally Qualified Health Center (FQHC)
7475 CAMINO ARROYO
Gilroy, CA 95020
  • Reassigned Medicare billing, California enrollment
  • Also billed through NPI 1629301346 (California), NPI 1588721500 (California)
  • 2,460 clinicians in this Medicare group
NPI 1922093533 (408) 885-5000

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 95020 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
$106.47 typical visit price
range $70.37 – $206.04
Typical copayment $26.61 (range $17.59 – $51.51)
Most-billed visit code 99203
Established Patient
$121.77 typical visit price
range $23.96 – $169.60
Typical copayment $30.44 (range $5.99 – $42.40)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

80.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality67.43
Promoting Interoperability100
Improvement Activities40
Cost46.5

Other Providers at the Same Location NPPES 3

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

SLOANE UPCHURCH CONVEY PA-C
Physician Assistant
7933 WREN AVE, STE D
GILROY, CA 95020
Santa Clara County (408) 847-1739
KRISTY ANNE CULP-LEONARD CNM
Advanced Practice Midwife
7933 WREN AVE, SUITE D
GILROY, CA 95020
Santa Clara County (408) 847-1739
MONIKA HASSLER PA-C
Physician Assistant
7933 WREN AVE, SUITE D
GILROY, CA 95020
Santa Clara County (408) 847-1739

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 Ly's NPI number?

The NPI number for Dominique Ly is 1821151143. It was assigned to this individual provider in the NPPES registry on December 18, 2006. The provider is also known as Miss Maithao Khanh Dinh Fnp.

Where is Dominique Ly located?

Dominique Ly practices at 7933 Wren Ave Suite D, Gilroy, CA 95020. The listed phone number is (408) 847-1739.

What is Dominique Ly's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Dominique Ly enrolled in Medicare?

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

Which organization bills Medicare for Dominique Ly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dominique Ly reassigns Medicare benefits to County Of Santa Clara (Gilroy, CA). 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 Dominique Ly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Dominique Ly was last updated on July 25, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.