DR. NICOLE ELISE DOMINACH DNP, APRN, AGPCNP-BP
NPI 1851916431
Nurse Practitioner - Adult Health in Rochester, NY

Active since June 10, 2020PECOS EnrolledAccepts Medicare Assignment
601 ELMWOOD AVE., ROCHESTER, NY 14642(585) 242-1300(585) 473-5007 Get Directions Write a Review

NPPES record last updated: May 18, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 18, 2023, Jun 11, 2020 (2 updates tracked since 2020).

About Dr. Nicole Elise Dominach Dnp, Aprn, Agpcnp-bp NPPES

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

DR. NICOLE ELISE DOMINACH DNP, APRN, AGPCNP-BP (NPI 1851916431) is an individual adult health provider in Rochester, New York, licensed in New York (F309643-01) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS, is affiliated with Strong Memorial Hospital, and maintains a secondary practice location in New York.

NPPES Registry Identity

NPI1851916431
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameDR. NICOLE ELISE DOMINACHCredential: DNP, APRN, AGPCNP-BP
Location Address601 ELMWOOD AVE.Rochester, NY 14642-0001
Mailing Address601 Elmwood Ave Box 604Rochester, NY 14642-0001 · (585) 275-1385
Fax(585) 473-5007
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJune 10, 2020
Last NPPES UpdateMay 18, 20232 updates tracked since enumeration
NPPES CertifiedMay 18, 2023
NPI 1851916431 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 NY · F309643-01
Also ListedRegistered NurseTaxonomy 163W00000X · License 771327-01 (NY)
601 ELMWOOD AVE., Rochester, NY 14642

Secondary Practice Location 1

Location 1325 W 15th StNew York, NY 10011-5903 · Phone (212) 604-6000

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

Dr. Nicole Elise Dominach Dnp, Aprn, Agpcnp-bp 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 ID5193124089
PECOS Enrollment IDI20210526000541
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Strong Memorial Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330285
Location601 Elmwood AveRochester, NY 14642 · Monroe County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14642 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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 20

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

Anesthesiology
601 ELMWOOD AVE.
ROCHESTER, NY 14642
Internal Medicine
601 ELMWOOD AVE.
ROCHESTER, NY 14642
Physician Assistant (Medical)
601 ELMWOOD AVE.
ROCHESTER, NY 14642
Pediatrics (Pediatric Gastroenterology)
601 ELMWOOD AVE.
ROCHESTER, NY 14642
Internal Medicine (Cardiovascular Disease)
601 ELMWOOD AVE.
ROCHESTER, NY 14642
Psychiatry & Neurology (Psychiatry)
601 ELMWOOD AVE., BOX PSYCH
ROCHESTER, NY 14642
Radiology (Diagnostic Radiology)
601 ELMWOOD AVE.
ROCHESTER, NY 14642
Obstetrics & Gynecology
601 ELMWOOD AVE.
ROCHESTER, NY 14642

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 Nicole Dominach's NPI number?

The NPI number for Nicole Dominach is 1851916431. It was assigned to this individual provider in the NPPES registry on June 10, 2020.

Where is Nicole Dominach located?

Nicole Dominach practices at 601 Elmwood Ave., Rochester, NY 14642. The listed phone number is (585) 242-1300.

What is Nicole Dominach's specialty?

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

Is Nicole Dominach enrolled in Medicare?

Yes. Nicole Dominach 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.

Is Nicole Dominach affiliated with any hospitals?

According to CMS data, Nicole Dominach is affiliated with Strong Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Nicole Dominach was last updated on May 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.