MRS. MARLEE HOPE DOMANGUE
NPI 1962230425
Physician Assistant in Jackson, MS

Active since July 24, 2024PECOS EnrolledAccepts Medicare Assignment
971 LAKELAND DR STE 750, JACKSON, MS 39216(601) 200-4970 Get Directions Write a Review

NPPES record last updated: January 28, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Marlee Hope Domangue NPPES

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

MRS. MARLEE HOPE DOMANGUE (NPI 1962230425) is an individual physician assistant in Jackson, Mississippi and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS, is affiliated with St Dominic-jackson Memorial Hospital, and maintains a secondary practice location in Pearl.

NPPES Registry Identity

NPI1962230425
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. MARLEE HOPE DOMANGUE
Location Address971 LAKELAND DR STE 750Jackson, MS 39216-4608
Mailing Address5959 S Sherwood Forest BlvdBaton Rouge, LA 70816-6038 · (601) 200-4970
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJuly 24, 2024
Last NPPES UpdateJanuary 28, 2025
NPPES CertifiedJanuary 28, 2025
NPI 1962230425 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

971 LAKELAND DR STE 750, Jackson, MS 39216

Secondary Practice Location 1

Location 1935 Timberton DrPearl, MS 39208-8639 · Phone (662) 202-7726

Accepted Insurance

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

Mrs. Marlee Hope Domangue 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 ID1153850417
PECOS Enrollment IDI20250131000107
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.

Hospital Affiliations CMS Care Compare

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

St Dominic-Jackson Memorial Hospital

Acute Care Hospitals · Jackson, MS
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number250048
Location969 Lakeland DrJackson, MS 39216 · Hinds County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39216 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$64.96 typical visit price
range $16.15 – $129.61
Typical copayment $16.24 (range $4.03 – $32.40)
Most-billed visit code 99213
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.

Nurse Practitioner (Family)
971 LAKELAND DR STE 750
JACKSON, MS 39216
Nurse Practitioner (Adult Health)
971 LAKELAND DR STE 750
JACKSON, MS 39216
Nurse Practitioner (Family)
971 LAKELAND DR STE 750
JACKSON, MS 39216

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 Marlee Domangue's NPI number?

The NPI number for Marlee Domangue is 1962230425. It was assigned to this individual provider in the NPPES registry on July 24, 2024.

Where is Marlee Domangue located?

Marlee Domangue practices at 971 Lakeland Dr Ste 750, Jackson, MS 39216. The listed phone number is (601) 200-4970.

What is Marlee Domangue's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Marlee Domangue enrolled in Medicare?

Yes. Marlee Domangue 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.

What insurance does Marlee Domangue accept?

Health plans from Blue Cross and Blue Shield of Alabama, Molina Healthcare and UnitedHealthcare list Marlee Domangue as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Marlee Domangue affiliated with any hospitals?

According to CMS data, Marlee Domangue is affiliated with St Dominic-Jackson Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Marlee Domangue was last updated on January 28, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.