TINA MARIE DOMINEY DNP, CRNP, AGNP-C
NPI 1962123505
Nurse Practitioner - Primary Care in Baltimore, MD
About Tina Marie Dominey Dnp, Crnp, Agnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TINA MARIE DOMINEY DNP, CRNP, AGNP-C (NPI 1962123505) is an individual primary care provider in Baltimore, Maryland, licensed in Maryland (R195420) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS, is affiliated with Mercy Medical Center Inc, and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
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
Tina Marie Dominey Dnp, Crnp, Agnp-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.
Medicare Billing Reassignments
4Medicare enrollment records show Tina Dominey reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Baltimore, MD 21202
- Reassigned Medicare billing, Maryland enrollment
- 66 clinicians in this Medicare group
Baltimore, MD 21202
- Reassigned Medicare billing, Maryland enrollment
- Medicare enrollment name: St Paul Place Specialists, Inc.
- 423 clinicians in this Medicare group
Baltimore, MD 21202
- Reassigned Medicare billing, Maryland enrollment
- 257 clinicians in this Medicare group
Toms River, NJ 08755
- Reassigned Medicare billing, Maryland enrollment
- 8 clinicians in this Medicare group
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mercy Medical Center Inc
Acute Care Hospitals · Baltimore, MDPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 21202 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
BALTIMORE, MD 21202
BALTIMORE, MD 21202
BALTIMORE, MD 21202
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 Tina Dominey's NPI number?
The NPI number for Tina Dominey is 1962123505. It was assigned to this individual provider in the NPPES registry on September 12, 2022.
Where is Tina Dominey located?
Tina Dominey practices at 345 Saint Paul St, Baltimore, MD 21202. The listed phone number is (410) 332-9000.
What is Tina Dominey's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Tina Dominey enrolled in Medicare?
Yes. Tina Dominey 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 Tina Dominey's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tina Dominey reassigns Medicare benefits to 4 organizations: Emergency Physicians Spps (Baltimore, MD), Saint Paul Place Specialists, Inc. (Baltimore, MD), Maryland Family Care, Inc. (Baltimore, MD) and Promed Preferred MD Professional Corporation (Toms River, NJ). 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 Tina Dominey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Tina Dominey affiliated with any hospitals?
According to CMS data, Tina Dominey is affiliated with Mercy Medical Center Inc.
When was this NPI record last updated?
The NPPES record for Tina Dominey was last updated on September 12, 2022. 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.
# Tina Marie Dominey, DNP, CRNP, AGNP-C · NPI 1962123505
Primary Care physician in Baltimore, Maryland. Individual provider, active in the CMS NPPES registry since September 12, 2022.
## Identity
- **NPI:** 1962123505 (Entity type: Individual)
- **Enumerated:** September 12, 2022
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **State license:** R195420 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 345 SAINT PAUL ST, Baltimore, MD 21202-2123
- **Phone:** (410) 332-9000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Emergency Physicians Spps (NPI 1760885958, Baltimore, MD); Saint Paul Place Specialists, Inc. (NPI 1053352070, Baltimore, MD); Maryland Family Care, Inc. (NPI 1598718256, Baltimore, MD); Promed Preferred MD Professional Corporation (NPI 1831934868, Toms River, NJ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** September 12, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1962123505) · Data from the CMS NPPES public registry.