Individual provider Active NPI

Dominique Paschal, APRN

  • Family Nurse Practitioner
  • Tarpon Springs, FL
National Provider Identifier
1083178040
Registry record updated Oct 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11001322 Issued in FL
Practice address
1810 S Pinellas Ave Ste B
Tarpon Springs, FL 34689-1989
Phone
(727) 937-6060
Fax
(727) 937-6030
NPI assigned
Jan 24, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN11001322 FL
Family Nurse Practitioner 363LF0000X APRN11001322 FL Primary

Addresses

Primary practice location

1810 S Pinellas Ave Ste B
Tarpon Springs, FL 34689-1989

Mailing address

1810 S Pinellas Ave Ste B
Tarpon Springs, FL 34689-1989
Phone (727) 937-6060

Other practice location 1

1810 S Pinellas Ave Ste B
Tarpon Springs, FL 34689-1989
Phone (727) 937-6060

Other practice location 2

2038 Ashley Oaks Cir Ste 102
Wesley Chapel, FL 33544-6413
Phone (813) 929-3622

Other practice location 3

1520 Blue Marlin Blvd
Holiday, FL 34691-9814
Phone (727) 643-3452

Other practice location 4

2433 Country Place Blvd Bldg B
Trinity, FL 34655
Phone (813) 844-8200

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dpc.health@purposelyevolving.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190405000452 FL Practitioner - Nurse Practitioner 6305187063 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health First Privia Medical GroupGroup PAC ID 3173965993, 247 clinicians

Practice addresses (Care Compare)

140 6TH Ave
Indialantic, FL 32903-3204
Phone (321) 312-3501

1810 S Pinellas Ave
Suite B
Tarpon Springs, FL 34689-1989
Phone (727) 937-6060

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11001322FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group Florida, LLC CurrentSince Jul 23, 2025 Accepting new patients
Purposely Evolving Primary Care CurrentSince Nov 22, 2022 Accepting new patients
Wesley Chapel Internal Medicine and Pediatrics, PA CurrentSince Feb 25, 2019 Accepting new patients
Tampa General Medical Group Inc PastSince Nov 1, 2019 Accepting new patients
Florida Health Sciences Center Inc Primary Care PastSince Nov 1, 2019 Accepting new patients

Locations

140 6th Ave
Indialantic, FL 32903
Phone (321) 312-3501

989 Sebastian Blvd
Unit 3
Sebastian, FL 32958
Phone (727) 617-1777

1810 S Pinellas Ave
Ste B
Tarpon Springs, FL 34689
Phone (727) 937-6060

2038 Ashley Oaks Cir
Ste 102
Wesley Chapel, FL 33544
Phone (813) 929-3622

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FDHBDA
  • Direct secure messaging: dominique.paschal@483239182008324.direct.elationemr.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1548288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759363200000",
    "number": "1083178040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 S PINELLAS AVE STE B",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "346891989",
            "telephone_number": "727-937-6060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 S PINELLAS AVE STE B",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "346891989",
            "telephone_number": "727-937-6060",
            "fax_number": "727-937-6030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1810 S Pinellas Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Tarpon Springs",
            "state": "FL",
            "postal_code": "346891989",
            "country_code": "US",
            "telephone_number": "727-937-6060",
            "fax_number": "727-937-6030",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2038 Ashley Oaks Cir Ste 102",
            "address_purpose": "LOCATION",
            "city": "Wesley Chapel",
            "state": "FL",
            "postal_code": "335446413",
            "country_code": "US",
            "telephone_number": "813-929-3622",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1520 Blue Marlin Blvd",
            "address_purpose": "LOCATION",
            "city": "Holiday",
            "state": "FL",
            "postal_code": "346919814",
            "country_code": "US",
            "telephone_number": "727-643-3452",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2433 Country Place Blvd Bldg B",
            "address_purpose": "LOCATION",
            "city": "Trinity",
            "state": "FL",
            "postal_code": "34655",
            "country_code": "US",
            "telephone_number": "813-844-8200",
            "fax_number": "813-844-1114",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PASCHAL",
        "first_name": "DOMINIQUE",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-24",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11001322",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11001322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dpc.health@purposelyevolving.org",
            "affiliation": "N",
            "address_1": "1810 S Pinellas Ave Ste B",
            "city": "Tarpon Springs",
            "state": "FL",
            "country_code": "US",
            "postal_code": "346891989",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tarpon Springs, FL

Sources for this page

Verify at the official NPI Registry.