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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: August 24, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 24, 2026, May 18, 2023, Jun 11, 2020 (3 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 (309643) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS, is affiliated with Strong Memorial Hospital, and is a graduate of Other (2020).

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
Phone(585) 242-1300
Fax(585) 473-5007
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJune 10, 2020
Last NPPES UpdateAugust 24, 20263 updates tracked since enumeration
NPPES CertifiedAugust 24, 2026
✔ 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 · 309643
Also ListedRegistered NurseTaxonomy 163W00000X · License 771327-01 (NY)
601 ELMWOOD AVE., Rochester, NY 14642
Open in Google Maps ↗

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

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.

Medicare Billing Reassignments

4

Medicare enrollment records show Nicole Dominach reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

U Of R Anesthesiology Group
0.1 mi
Anesthesiology
601 ELMWOOD AVE, BOX 604
Rochester, NY 14642
  • Reassigned Medicare billing, New York enrollment
  • 458 clinicians in this Medicare group
NPI 1609806488 (585) 275-5982
University Of Rochester
0.1 mi
General Acute Care Hospital
601 ELMWOOD AVE, BOX 684
Rochester, NY 14642
  • Reassigned Medicare billing, New York enrollment
  • 1,624 clinicians in this Medicare group
NPI 1346285657 (585) 275-2100
Highland Hospital Of Rochester
1.2 mi
Internal Medicine
1000 SOUTH AVE
Rochester, NY 14620
  • Reassigned Medicare billing, New York enrollment
  • 303 clinicians in this Medicare group
NPI 1376820241 (585) 473-2200
Icahn School Of Medicine At Mount Sinai
248 mi
Hematology & Oncology
1 GUSTAVE L LEVY PL
New York, NY 10029
  • Reassigned Medicare billing, New York enrollment
  • 275 clinicians in this Medicare group
NPI 1750649612 (212) 241-6756

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

DR. YICHUN LIN M.D.
Anesthesiology
601 ELMWOOD AVE.
ROCHESTER, NY 14642
Monroe County (585) 275-2141
DR. BETHANY CORBIN M.D.
Internal Medicine
601 ELMWOOD AVE.
ROCHESTER, NY 14642
Monroe County (585) 275-4912
BRIDGET PATRICIA SMITH
Physician Assistant (Medical)
601 ELMWOOD AVE.
ROCHESTER, NY 14642
Monroe County (585) 275-0992
NICHOLAS KLEITCH
Physician Assistant
601 ELMWOOD AVE.
ROCHESTER, NY 14642
Monroe County (585) 274-4569
ZACHARY IAN EDWARDS CRNA
Nurse Anesthetist, Certified Registered
601 ELMWOOD AVE.
ROCHESTER, NY 14642
Monroe County (585) 275-2141
CHAVONNE KOUASSI
Pediatrics (Pediatric Gastroenterology)
601 ELMWOOD AVE.
ROCHESTER, NY 14642
Monroe County (585) 275-2647
DR. ERIN MICHELLE ARMENIA M.D.
Internal Medicine (Cardiovascular Disease)
601 ELMWOOD AVE.
ROCHESTER, NY 14642
Monroe County (585) 275-4912
NOMAN AFZAL MD
Psychiatry & Neurology (Psychiatry)
601 ELMWOOD AVE., BOX PSYCH
ROCHESTER, NY 14642
Monroe County (585) 275-4501

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.

Which organizations bill Medicare for Nicole Dominach's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Dominach reassigns Medicare benefits to 4 organizations: U Of R Anesthesiology Group (Rochester, NY), University Of Rochester (Rochester, NY), Highland Hospital Of Rochester (Rochester, NY) and Icahn School Of Medicine At Mount Sinai (New York, NY). Each 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 Nicole Dominach's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 August 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.