Cindy Priscilla Dominguez, ACNPC-AG

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

78698 Issued in KS

Practice address

634 SW Mulvane St Ste 200
Topeka, KS 66606-1678

Phone

(785) 272-2240

Fax

(785) 272-2250

NPI assigned

May 11, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Cindy Priscilla Valdez Smith Former name

Medicare fee-for-service enrollment

Enrolled in KS

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Topeka Physician Group LLCGroup PAC ID 6406112473, 149 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• University of Kansas Health System - St Francis Campus Hospital, Topeka, KS, CCN 170016

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cvaldezsmith272664@ahs.direct-ci.com

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.

• Topeka Physician Group, LLC

  • Internal Medicine Physician
  • Topeka, KS
  • NPI 1770008849
  Medicare reassignment Care Compare group NPD
• Topeka Physician Group, LLC

  • Rural Health Clinic/Center
  • Valley Falls, KS
  • NPI 1902395262
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Topeka Hospital, LLC

  • General Acute Care Hospital
  • Topeka, KS
  • NPI 1912423260
  Care Compare affiliation

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

{
    "created_epoch": "1557532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721779200000",
    "number": "1164088514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "634 SW MULVANE",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666062224",
            "telephone_number": "785-272-2240",
            "fax_number": "785-272-2250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "634 SW MULVANE ST STE 200",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666061678",
            "telephone_number": "785-272-2240",
            "fax_number": "785-272-2250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMINGUEZ",
        "first_name": "CINDY",
        "middle_name": "PRISCILLA",
        "name_prefix": "Mrs.",
        "credential": "ACNPC-AG",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-11",
        "last_updated": "2024-07-24",
        "certification_date": "2024-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "78698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CINDY",
            "last_name": "VALDEZ SMITH",
            "middle_name": "PRISCILLA",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Thomas E Doerr, R.PH.
• Mackenzie Doescher
• Sarah Dolsky, LPN
• Julie Lynn Domezio
• Alyssa Marie Domingos, APRN, FNP
• Marilena Marie Dominguez
• Jonathan R Dompeling, DO
• Don C Gordy, DDS PA
• Donald J Crowder Lscsw LLC
• Donald J Crowder Lscsw LLC

• Nurse Practitioner in Topeka, KS
• Providers in Topeka, KS by specialty
• Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; 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.

Verify at the official NPI Registry.