Individual provider Active NPI

Dominique D Leveque, CPNP, FNPC

  • Family Nurse Practitioner
  • Indianapolis, IN
National Provider Identifier
1285785584
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71002011A Issued in IN
Practice address
3850 Shore Dr Ste 315
Indianapolis, IN 46254-4693
Phone
(317) 429-0061
Fax
(317) 222-1953
NPI assigned
Jan 15, 2007
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71002011A IN Primary
Pediatric Nurse Practitioner 363LP0200X 71002011A IN

Addresses

Primary practice location

3850 Shore Dr Ste 315
Indianapolis, IN 46254-4693

Mailing address

8420 Cooper LN
Zionsville, IN 46077-9360
Phone (317) 873-2626

Other identifiers 1

IdentifierTypeStateIssuer
200822670MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20090826000595 IN Practitioner - Nurse Practitioner 7315092491 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michael S Miller DO Facos CWS PCGroup PAC ID 6406935733, 6 clinicians

Practice addresses (Care Compare)

3850 Shore Dr
Suite 315
Indianapolis, IN 46254-4693
Phone (317) 429-0061

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Michael S. Miller DO, Facos, CWS, PC CurrentSince Feb 1, 2021 Accepting new patients
Sons and Daughters Recovery LLC Family Past Accepting new patients
Integrative Health Specialist of Indiana PC PastSince Jan 1, 2005 Accepting new patients
Eagle Creek Urgent Care LLC Past Accepting new patients

Locations

3850 Shore Dr
Ste 315
Indianapolis, IN 46254
Phone (317) 429-0061

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1285785584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8420 COOPER LN",
            "city": "ZIONSVILLE",
            "state": "IN",
            "postal_code": "460779360",
            "telephone_number": "317-873-2626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3850 SHORE DR STE 315",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462544693",
            "telephone_number": "317-429-0061",
            "fax_number": "317-222-1953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVEQUE",
        "first_name": "DOMINIQUE",
        "middle_name": "D",
        "credential": "CPNP, FNPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-15",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71002011A",
            "primary": true
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "IN",
            "license": "71002011A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200822670",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.