Individual provider Active NPI

Dominique Wright, APRN

  • Nurse Practitioner
  • Falmouth, MA
National Provider Identifier
1164763512
Registry record updated Apr 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN227597 Issued in MA
Practice address
200A Jones Road
Falmouth, MA 02540-4900
Phone
(508) 540-0900
Fax
(508) 548-6358
NPI assigned
Mar 11, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN227597 MA Primary

Addresses

Primary practice location

200A Jones Road
Falmouth, MA 02540-4900

Mailing address

200A Jones Road
Falmouth, MA 02540-4900
Phone (508) 540-0900

Other practice location 1

100 Rosebrook Way
Wareham, MA 02571-1138
Phone (508) 273-4974

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dwright33193@direct.southcoast.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160210002402 MA Practitioner - Nurse Practitioner 9537463641 Reassigns benefits to 2 organizations
I20201014001616 NH Practitioner - Nurse Practitioner 9537463641 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Southcoast Physicians Group IncGroup PAC ID 0749171957, 875 clinicians

Practice addresses (Care Compare)

100 Rosebrook Way
FL 2
Wareham, MA 02571-1138
Phone (508) 273-4950

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southcoast Physicians Group, Inc. CurrentSince Mar 7, 2016 Accepting new patients
Southcoast Physicians Group, Inc. CurrentSince Mar 7, 2016 Accepting new patients
Elliot Physicians Network CurrentSince Aug 31, 2020 Accepting new patients

Locations

534 Prospect St
Fall River, MA 02720
Phone (508) 679-7766

237A State Rd
North Dartmouth, MA 02747
Phone (508) 979-1100

100 Rosebrook Way
Wareham, MA 02571
Phone (508) 273-4900

100 Rosebrook Way
Fl 2
Wareham, MA 02571
Phone (508) 273-4950

100 Rosebrook Way
Ste 202
Wareham, MA 02571

275 Mammoth Rd
Ste 1
Manchester, NH 03109
Phone (603) 663-3222

1 Elliot Way
Manchester, NH 03103
Phone (603) 663-2271

Interoperability endpoints

  • Direct secure messaging: dwright33193@direct.southcoast.org

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1362960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587945600000",
    "number": "1164763512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200A JONES ROAD",
            "city": "FALMOUTH",
            "state": "MA",
            "postal_code": "025404900",
            "telephone_number": "508-540-0900",
            "fax_number": "508-548-6358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200A JONES ROAD",
            "city": "FALMOUTH",
            "state": "MA",
            "postal_code": "025404900",
            "telephone_number": "508-540-0900",
            "fax_number": "508-548-6358"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Rosebrook Way",
            "address_purpose": "LOCATION",
            "city": "Wareham",
            "state": "MA",
            "postal_code": "025711138",
            "country_code": "US",
            "telephone_number": "508-273-4974",
            "fax_number": "508-273-4954",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "DOMINIQUE",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-11",
        "last_updated": "2020-04-27",
        "certification_date": "2020-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN227597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dwright33193@direct.southcoast.org",
            "affiliation": "N",
            "endpointDescription": "Southcoast Health Epic Direct Address",
            "address_1": "100 Rosebrook Way",
            "city": "Wareham",
            "state": "MA",
            "country_code": "US",
            "postal_code": "025711138",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Falmouth, MA

Sources for this page

Verify at the official NPI Registry.