DOMINIQUE RAULS
NPI 1861265050
Nurse Practitioner - Family in Shaw Afb, SC

Active since October 31, 2023PECOS EnrolledAccepts Medicare Assignment
420 POLIFKA DR, SHAW AFB, SC 29152(803) 895-6356 Get Directions Write a Review

NPPES record last updated: January 30, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 30, 2026, Oct 31, 2023 (2 updates tracked since 2023).

About Dominique Rauls NPPES

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

DOMINIQUE RAULS (NPI 1861265050) is an individual family provider in Shaw Afb, South Carolina, licensed in Georgia (RN268515) and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1861265050
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDOMINIQUE RAULS
Location Address420 POLIFKA DRShaw Afb, SC 29152-5100
Mailing Address420 Polifka DrShaw Afb, SC 29152-5100 · (803) 895-6356
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateOctober 31, 2023
Last NPPES UpdateJanuary 30, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 30, 2026
NPI 1861265050 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 GA · RN268515
420 POLIFKA DR, Shaw Afb, SC 29152

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

Dominique Rauls 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 ID9436507050
PECOS Enrollment IDI20231121000303
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.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
102 services11 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
32 services16 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
29 services29 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
18 services13 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426
An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
17 services17 patients
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880
A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.
16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29152 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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.

Nurse Practitioner (Primary Care)
420 POLIFKA DR
SHAW AFB, SC 29152
Military Health Care Provider (Independent Duty Medical Technicians)
420 POLIFKA DR
SHAW AFB, SC 29152
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
420 POLIFKA DR
SHAW AFB, SC 29152
Physician Assistant (Medical)
420 POLIFKA DR
SHAW AFB, SC 29152
Nurse Practitioner (Women's Health)
420 POLIFKA DR
SHAW AFB, SC 29152
Social Worker (Clinical)
420 POLIFKA DR
SHAW AFB, SC 29152
Social Worker
420 POLIFKA DR
SHAW AFB, SC 29152
Physician Assistant
420 POLIFKA DR
SHAW AFB, SC 29152

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 Rauls's NPI number?

The NPI number for Dominique Rauls is 1861265050. It was assigned to this individual provider in the NPPES registry on October 31, 2023.

Where is Dominique Rauls located?

Dominique Rauls practices at 420 Polifka Dr, Shaw Afb, SC 29152. The listed phone number is (803) 895-6356.

What is Dominique Rauls's specialty?

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

Is Dominique Rauls enrolled in Medicare?

Yes. Dominique Rauls 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.

When was this NPI record last updated?

The NPPES record for Dominique Rauls was last updated on January 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.