DOMANIC WILTERMOOD FNP-C
NPI 1992489579
Nurse Practitioner - Family in West Lafayette, IN

Active since June 14, 2023PECOS EnrolledAccepts Medicare Assignment
915 SAGAMORE PKWY W, WEST LAFAYETTE, IN 47906(765) 463-2424 Get Directions Write a Review

NPPES record last updated: September 5, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 5, 2023, Jun 14, 2023 (2 updates tracked since 2023).

About Domanic Wiltermood Fnp-c NPPES

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

DOMANIC WILTERMOOD FNP-C (NPI 1992489579) is an individual family provider in West Lafayette, Indiana, licensed in Indiana (71014180A) and active in the NPI registry since June 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1992489579
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameDOMANIC WILTERMOODCredential: FNP-C
Location Address915 SAGAMORE PKWY WWest Lafayette, IN 47906-1443
Mailing AddressPo Box 781076Detroit, MI 48278-1076 · (317) 528-4800 · Fax (317) 865-1479
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJune 14, 2023
Last NPPES UpdateSeptember 5, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 5, 2023
NPI 1992489579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in IN · 71014180A
Also ListedRegistered NurseTaxonomy 163W00000X · License 28225056A (IN)
915 SAGAMORE PKWY W, West Lafayette, IN 47906

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

Domanic Wiltermood Fnp-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 ID2163886334
PECOS Enrollment IDI20230907001309
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 11

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.

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.
229 services206 patients
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.
199 services55 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.
89 services83 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.
56 services52 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
56 services13 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
50 services49 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47906 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

Specialist/Technologist (Athletic Trainer)
915 SAGAMORE PKWY W
WEST LAFAYETTE, IN 47906
Nurse Practitioner (Family)
915 SAGAMORE PKWY W
WEST LAFAYETTE, IN 47906
Family Medicine
915 SAGAMORE PKWY W
WEST LAFAYETTE, IN 47906
Pediatrics
915 SAGAMORE PKWY W
WEST LAFAYETTE, IN 47906
Family Medicine
915 SAGAMORE PKWY W
WEST LAFAYETTE, IN 47906
Dermatology
915 SAGAMORE PKWY W
WEST LAFAYETTE, IN 47906
Nurse Practitioner
915 SAGAMORE PKWY W
WEST LAFAYETTE, IN 47906
Nurse Practitioner (Pediatrics)
915 SAGAMORE PKWY W
WEST LAFAYETTE, IN 47906

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 Domanic Wiltermood's NPI number?

The NPI number for Domanic Wiltermood is 1992489579. It was assigned to this individual provider in the NPPES registry on June 14, 2023.

Where is Domanic Wiltermood located?

Domanic Wiltermood practices at 915 Sagamore Pkwy W, West Lafayette, IN 47906. The listed phone number is (765) 463-2424.

What is Domanic Wiltermood's specialty?

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

Is Domanic Wiltermood enrolled in Medicare?

Yes. Domanic Wiltermood 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 Domanic Wiltermood accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Domanic Wiltermood 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.

When was this NPI record last updated?

The NPPES record for Domanic Wiltermood was last updated on September 5, 2023. 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.