SUSAN C DEDOMINICIS MSN, NP-C
NPI 1891154712
Nurse Practitioner - Family in Swampscott, MA

Q: What is Susan Dedominicis's NPI number?

The NPI number for Susan Dedominicis is 1891154712. It was assigned to this individual provider in the NPPES registry on February 19, 2016.

Q: What is Susan Dedominicis's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Susan Dedominicis was last updated on December 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since February 19, 2016PECOS EnrolledAccepts Medicare Assignment

990 PARADISE ROAD, SWAMPSCOTT, MA 01907(781) 595-0151(781) 592-6780 Get Directions Write a Review

NPPES record last updated: December 16, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 16, 2021, Dec 5, 2018, Jan 4, 2017 and 2 more (5 updates tracked since 2016).

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About Susan C Dedominicis Msn, Np-c NPPES

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

SUSAN C DEDOMINICIS MSN, NP-C (NPI 1891154712) is an individual family provider in Swampscott, Massachusetts, licensed in Massachusetts (RN2290806) and active in the NPI registry since February 2016. She is enrolled in Medicare PECOS, is affiliated with North Shore Medical Center -, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1891154712

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSUSAN C DEDOMINICISCredential: MSN, NP-C

Location Address990 PARADISE ROADSwampscott, MA 01907

Mailing Address990 Paradise RoadSwampscott, MA 01907 · (781) 595-0151 · Fax (781) 592-6780

Phone(781) 595-0151

Fax(781) 592-6780

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateFebruary 19, 2016

Last NPPES UpdateDecember 16, 20215 updates tracked since enumeration

NPPES CertifiedDecember 16, 2021

✔ NPI 1891154712 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 MA · RN2290806

990 PARADISE ROAD, Swampscott, MA 01907

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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

Susan C Dedominicis Msn, Np-c 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 ID3779861935

PECOS Enrollment IDI20161024001423

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 Susan Dedominicis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Howard S Goldberg MD Inc

Same address

Dermatology

990 PARADISE RD
Swampscott, MA 01907

Reassigned Medicare billing, Massachusetts enrollment
10 clinicians in this Medicare group

NPI 1912938531 (781) 595-0151

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

Areas of Expertise CMS Part B claims 10

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.

Destruction of precancer skin growth, 2-14 growths 17003

This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.

488 services93 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

321 services237 patients

Destruction of precancer skin growth, 1 growth 17000

"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.

207 services139 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

187 services130 patients

Destruction of skin growth, 1-14 growths 17110

"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.

82 services65 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

40 services40 patients

Hospital Affiliations CMS Care Compare

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

North Shore Medical Center -

Acute Care Hospitals · Salem, MA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220035

Location81 Highland AvenueSalem, MA 01970 · Essex County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01907 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

$90.70 typical visit price

range $58.86 – $177.36

Typical copayment $22.67 (range $14.71 – $44.34)

Most-billed visit code 99203

Established Patient

$103.48 typical visit price

range $19.11 – $144.84

Typical copayment $25.87 (range $4.77 – $36.21)

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 3

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

JANIE LAUSIER RDH

Dental Hygienist

990 PARADISE ROAD
SWAMPSCOTT, MA 01907

Essex County (833) 384-6646

KIMBERLY A COMEAU PA

Physician Assistant

990 PARADISE ROAD, HOWARD S GOLDBERG MD INC
SWAMPSCOTT, MA 01907

Essex County (781) 595-0151

HOWARD S GOLDBERG MD

Dermatology

990 PARADISE ROAD
SWAMPSCOTT, MA 01907

Essex County (781) 592-2830

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 Susan Dedominicis's NPI number?

The NPI number for Susan Dedominicis is 1891154712. It was assigned to this individual provider in the NPPES registry on February 19, 2016.

Where is Susan Dedominicis located?

Susan Dedominicis practices at 990 Paradise Road, Swampscott, MA 01907. The listed phone number is (781) 595-0151.

What is Susan Dedominicis's specialty?

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

Is Susan Dedominicis enrolled in Medicare?

Yes. Susan Dedominicis 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 Susan Dedominicis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Susan Dedominicis reassigns Medicare benefits to Howard S Goldberg MD Inc (Swampscott, MA). 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 Susan Dedominicis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Susan Dedominicis affiliated with any hospitals?

According to CMS data, Susan Dedominicis is affiliated with North Shore Medical Center -.

When was this NPI record last updated?

The NPPES record for Susan Dedominicis was last updated on December 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.