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DOMINIQUE CLARKE
NPI 1932730702
Nurse Practitioner - Family in Coral Springs, FL

Active since January 30, 2020PECOS EnrolledAccepts Medicare Assignment
10000 W SAMPLE RD, CORAL SPRINGS, FL 33065(954) 798-7114 Get Directions Write a Review

NPPES record last updated: February 14, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dominique Clarke NPPES

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

DOMINIQUE CLARKE (NPI 1932730702) is an individual family provider in Coral Springs, Florida, licensed in Florida (APRN11004924) and active in the NPI registry since January 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1932730702
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDOMINIQUE CLARKE
Location Address10000 W SAMPLE RDCoral Springs, FL 33065-3936
Mailing Address6160 Nw 54th LnTamarac, FL 33319-2453 · (954) 822-5920
Phone(954) 798-7114
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateJanuary 30, 2020
Last NPPES UpdateFebruary 14, 2024
NPPES CertifiedFebruary 14, 2024
✔ NPI 1932730702 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 FL · APRN11004924
10000 W SAMPLE RD, Coral Springs, FL 33065
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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

Dominique Clarke 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 ID7719317411
PECOS Enrollment IDI20200429000691
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

3

Medicare enrollment records show Dominique Clarke reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

At Home Concierge Care LLC
11 mi
Nurse Practitioner
800 MEADOWS RD
Boca Raton, FL 33486
  • Reassigned Medicare billing, Florida enrollment
  • 3 clinicians in this Medicare group
NPI 1437937877 (561) 288-8218
Nursing Home Physicians PA
116 mi
Internal Medicine
365 STIRRUP KEY BLVD
Marathon, FL 33050
  • Reassigned Medicare billing, Florida enrollment
  • 22 clinicians in this Medicare group
NPI 1396769725 (954) 363-1011
Vitae Health Medical Florida PLLC
144 mi
Internal Medicine
1775 HUNTINGTON LN
Rockledge, FL 32955
  • Reassigned Medicare billing, Florida enrollment
  • 106 clinicians in this Medicare group
NPI 1013562024 (321) 632-7341

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 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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
1,768 services304 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
367 services176 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307
A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
185 services103 patients
Nursing facility discharge day management, 30 minutes or less 99315
Nursing facility discharge day management involves organizing your transition from the nursing facility to your home or another facility. This service, taking 30 minutes or less, includes finalizing medical instructions, arranging follow-up care, and answering any questions.
32 services31 patients
Nursing facility discharge management, more than 30 minutes 99316
Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.
22 services22 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
12 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33065 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
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) E0630
DME-Other DME · category DE000N
2 suppliers14 claims14 services$34.50 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

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

CORAL SPRINGS MEDICAL GROUP INC.
Family Medicine
10000 W SAMPLE RD
CORAL SPRINGS, FL 33065
Broward County (754) 812-1000
COASTAL WELLNESS CENTER INC
Chiropractor
10000 W SAMPLE RD, SUITE B
CORAL SPRINGS, FL 33065
Broward County (954) 752-2950
VISION SPINE CENTER
Chiropractor
10000 W SAMPLE RD, B
CORAL SPRINGS, FL 33065
Broward County (954) 901-9858
VISION SPINE CENTER, INC.
Chiropractor
10000 W SAMPLE RD, B
CORAL SPRINGS, FL 33065
Broward County (954) 901-9858
TERESA A FAXAS M.D.
Pediatrics
10000 W SAMPLE RD
CORAL SPRINGS, FL 33065
Broward County (954) 346-8800
GUTIERREZ & FAXAS, P.A.
Family Medicine
10000 W SAMPLE RD
CORAL SPRINGS, FL 33065
Broward County (954) 346-8800

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 Clarke's NPI number?

The NPI number for Dominique Clarke is 1932730702. It was assigned to this individual provider in the NPPES registry on January 30, 2020.

Where is Dominique Clarke located?

Dominique Clarke practices at 10000 W Sample Rd, Coral Springs, FL 33065. The listed phone number is (954) 798-7114.

What is Dominique Clarke's specialty?

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

Is Dominique Clarke enrolled in Medicare?

Yes. Dominique Clarke 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 Dominique Clarke's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dominique Clarke reassigns Medicare benefits to 3 organizations: At Home Concierge Care LLC (Boca Raton, FL), Nursing Home Physicians PA (Marathon, FL) and Vitae Health Medical Florida PLLC (Rockledge, FL). 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 Dominique Clarke's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Dominique Clarke was last updated on February 14, 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.