Active NPI
Charlie Dominguez, FNP
- Family Nurse Practitioner
- El Paso, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP140823
- Practice address
- 1521 Joe Battle Blvd
El Paso, TX 79936-0922 - Phone
- (915) 790-5700
- NPI assigned
- Apr 4, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 557338 | NM | |
| Family Nurse Practitioner | 363LF0000X | AP140823 | TX | Primary |
Addresses
Primary practice location
1521 Joe Battle Blvd
El Paso, TX 79936-0922
Mailing address
1605 El Paseo Rd
Las Cruces, NM 88001-6010
Phone (575) 523-5400
Other practice location 1
1605 El Paseo Rd
Las Cruces, NM 88001-6010
Phone (575) 523-5400
Other names 1
- Charlie Dominguez
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
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
Practice addresses (Care Compare)
1521 Joe Battle Blvd
El Paso, TX 79936-6286
Phone (915) 760-5700
4815 Alameda Ave
El Paso, TX 79905-2705
Phone (915) 521-7902
4845 Alameda Ave
El Paso, TX 79905-2705
Phone (915) 298-5444
Hospital & facility affiliations
- University Medical Center of El Paso
Merit-based Incentive Payment System (MIPS)
- Final score
- 92 of 100
- Quality
- 90.22
- Promoting interoperability
- 95
- Improvement activities
- 40
- Cost
- 75.52
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 557338 | NM | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| El Paso County Hospital District | Current | Accepting new patients | |
| Umc El Paso Healthcare Inc | Current | Accepting new patients | |
| El Paso County Hospital District | Current | Accepting new patients |
Locations
1521 Joe Battle Blvd
El Paso, TX 79936
Phone (915) 521-2200
1416 George Dieter Dr
El Paso, TX 79936
Phone (877) 822-6281
4824 Alberta Ave
#4
El Paso, TX 79905
4500 N Mesa St
El Paso, TX 79912
Phone (915) 532-9000
4824 Alberta Ave
Fl 4
El Paso, TX 79905
Phone (915) 521-7103
1393 George Dieter Dr
El Paso, TX 79936
Phone (915) 228-4915
4815 Alameda Ave
El Paso, TX 79905
Phone (915) 215-6000
Interoperability endpoints
- https://api.platform.athenahealth.com/24611/brand/1/csg/1/fhir/r4
Organizations & group practices 3
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.
-
- General Acute Care Hospital
- El Paso, TX
- NPI 1316936990
-
- General Practice Physician
- El Paso, TX
- NPI 1528683810
-
- General Acute Care Hospital
- El Paso, TX
- NPI 1619747938
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- El Paso, TX
- NPI 1316936990
-
- General Acute Care Hospital
- El Paso, TX
- NPI 1619747938
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741824000000",
"number": "1154883486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1605 EL PASEO RD",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880016010",
"telephone_number": "575-523-5400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1521 JOE BATTLE BLVD",
"city": "EL PASO",
"state": "TX",
"postal_code": "799360922",
"telephone_number": "915-790-5700"
}
],
"practiceLocations": [
{
"address_1": "1605 El Paseo Rd",
"address_purpose": "LOCATION",
"city": "Las Cruces",
"state": "NM",
"postal_code": "880016010",
"country_code": "US",
"telephone_number": "575-523-5400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DOMINGUEZ",
"first_name": "CHARLIE",
"name_prefix": "Mr.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-04-04",
"last_updated": "2025-03-13",
"certification_date": "2025-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NM",
"license": "557338",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP140823",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CHARLIE",
"last_name": "DOMINGUEZ",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in El Paso, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.