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MARIA MORRISON DOMINICK PMHNP
NPI 1841866050
Nurse Practitioner - Psychiatric/Mental Health in Diberville, MS

Active since May 28, 2021PECOS EnrolledAccepts Medicare Assignment
3446 POPP'S FERRY ROAD, DIBERVILLE, MS 39540(228) 392-4153 Get Directions Write a Review

NPPES record last updated: August 1, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 1, 2024, May 28, 2021 (2 updates tracked since 2021).

About Maria Morrison Dominick Pmhnp NPPES

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

MARIA MORRISON DOMINICK PMHNP (NPI 1841866050) is an individual psychiatric/mental health provider in Diberville, Mississippi, licensed in Mississippi (906771) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Wiggins, and is a graduate of University Of Mississippi School Of Medicine (2024).

NPPES Registry Identity

NPI1841866050
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMARIA MORRISON DOMINICKCredential: PMHNP
Location Address3446 POPP'S FERRY ROADDiberville, MS 39540
Mailing AddressPo Box 18679Hattiesburg, MS 39404-8679 · (601) 705-1901 · Fax (601) 705-1952
Phone(228) 392-4153
Sole ProprietorNo
Medical School CMSUniversity Of Mississippi School Of MedicineGraduated 2024
Enumeration DateMay 28, 2021
Last NPPES UpdateAugust 1, 20242 updates tracked since enumeration
NPPES CertifiedJuly 25, 2024
✔ NPI 1841866050 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in MS · 906771
Also ListedRegistered NurseTaxonomy 163W00000X · License 901428 (MS)
3446 POPP'S FERRY ROAD, Diberville, MS 39540
Open in Google Maps ↗

Secondary Practice Location 1

Location 1200 Coastal Paper DrWiggins, MS 39577-7000 · Phone (601) 385-6095 · Fax (601) 928-5622

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, Molina Healthcare, UnitedHealthcare.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

Maria Morrison Dominick Pmhnp 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 ID446798623
PECOS Enrollment IDI20240819004170
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 Maria Dominick reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Coastal Family Health Center, Inc.
Same address
Federally Qualified Health Center (FQHC)
3446 POPPS FERRY RD
Diberville, MS 39540
  • Reassigned Medicare billing, Mississippi enrollment
  • 90 clinicians in this Medicare group
NPI 1629309117 (228) 374-2494

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 39540 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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.

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 Maria Dominick's NPI number?

The NPI number for Maria Dominick is 1841866050. It was assigned to this individual provider in the NPPES registry on May 28, 2021.

Where is Maria Dominick located?

Maria Dominick practices at 3446 Popp's Ferry Road, Diberville, MS 39540. The listed phone number is (228) 392-4153.

What is Maria Dominick's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Maria Dominick enrolled in Medicare?

Yes. Maria Dominick 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 Maria Dominick's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Maria Dominick reassigns Medicare benefits to Coastal Family Health Center, Inc. (Diberville, MS). 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 Maria Dominick's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Maria Dominick accept?

Health plans from Blue Cross and Blue Shield of Alabama, Molina Healthcare and UnitedHealthcare list Maria Dominick 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 Maria Dominick was last updated on August 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.