Individual provider Active NPI

Patricia Rose Dominguez, NP

  • Family Nurse Practitioner
  • Stanley, NC
National Provider Identifier
1275252595
Registry record updated Dec 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5016739 Issued in NC
Practice address
442 S Highway 27
Stanley, NC 28164-2055
Phone
(866) 389-2727
NPI assigned
Aug 22, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5016739 NC Primary

Addresses

Primary practice location

442 S Highway 27
Stanley, NC 28164-2055

Mailing address

442 S Highway 27
Stanley, NC 28164-2055

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20221021002583 NC Practitioner - Nurse Practitioner 1658747217 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minuteclinic Diagnostic of North Carolina PCGroup PAC ID 6002837572, 208 clinicians

Practice addresses (Care Compare)

442 S Hwy 27
Stanley, NC 28164-2055
Phone (866) 389-2727

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health Medical Associates, PLLC Nurse Practitioner CurrentSince Jan 27, 2026 Accepting new patients
Minuteclinic Primary Care North Carolina PLLC Family CurrentSince Feb 5, 2026 Accepting new patients
Minuteclinic Diagnostic of North Carolina PC Family CurrentSince Feb 5, 2026 Accepting new patients

Locations

10100 S Main St
Archdale, NC 27263
Phone (336) 431-0715

6840 Glenwood Ave
Raleigh, NC 27612
Phone (401) 770-4415

442 S Highway 27
Stanley, NC 28164
Phone (704) 263-1416

Interoperability endpoints

  • Direct secure messaging: pdominguez660903@direct.novanthealth.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1661126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766275200000",
    "number": "1275252595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "442 S HIGHWAY 27",
            "city": "STANLEY",
            "state": "NC",
            "postal_code": "281642055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "442 S HIGHWAY 27",
            "city": "STANLEY",
            "state": "NC",
            "postal_code": "281642055",
            "telephone_number": "866-389-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMINGUEZ",
        "first_name": "PATRICIA",
        "middle_name": "ROSE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-22",
        "last_updated": "2025-12-21",
        "certification_date": "2025-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5016739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stanley, NC

Sources for this page

Verify at the official NPI Registry.