Individual provider Active NPI

Heather Brooke Domel

  • Family Nurse Practitioner
  • Shiner, TX
National Provider Identifier
1295405371
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1052400 Issued in TX
Practice address
207 W 7TH St
Shiner, TX 77984-5873
Phone
(361) 239-5015
Fax
(361) 239-5014
NPI assigned
Sep 20, 2021
Last updated
May 11, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1052400 TX
Family Nurse Practitioner 363LF0000X 1052400 TX Primary

Addresses

Primary practice location

207 W 7TH St
Shiner, TX 77984-5873

Mailing address

PO Box 587
Gonzales, TX 78629-0587
Phone (361) 239-5015

Other practice location 1

1110 N Sarah DeWitt Dr
Gonzales, TX 78629-3311
Phone (830) 672-8502

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mhghdomel@gonzhealthsys.cernerdirect.com Direct

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211213001937 TX Practitioner - Nurse Practitioner 4284032053 Reassigns benefits to 1 organization

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
Gonzales Healthcare SystemsGroup PAC ID 8527963776, 35 clinicians

Practice addresses (Care Compare)

1110 N Sarah Dewitt Dr
Gonzales, TX 78629-3311
Phone (830) 672-7581

207 W 7TH St
Sievers Medical Clinic Shiner
Shiner, TX 77984-5873
Phone (361) 239-5015

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1052400TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gonzales Healthcare Systems CurrentSince Sep 7, 2021 Accepting new patients
Gonzales Healthcare Systems CurrentSince Sep 7, 2021 Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients
Gonzales Healthcare Systems Past Accepting new patients

Locations

1110 N Sarah Dewitt Dr
Gonzales, TX 78629
Phone (830) 672-3845

207 W 7th St
Shiner, TX 77984
Phone (361) 239-5015

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: mhghdomel@gonzhealthsys.cernerdirect.com

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.

Hospital & facility affiliations 2

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": "1632096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778457600000",
    "number": "1295405371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 587",
            "city": "GONZALES",
            "state": "TX",
            "postal_code": "786290587",
            "telephone_number": "361-239-5015",
            "fax_number": "361-239-5014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 W 7TH ST",
            "city": "SHINER",
            "state": "TX",
            "postal_code": "779845873",
            "telephone_number": "361-239-5015",
            "fax_number": "361-239-5014"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1110 N Sarah DeWitt Dr",
            "address_purpose": "LOCATION",
            "city": "Gonzales",
            "state": "TX",
            "postal_code": "786293311",
            "country_code": "US",
            "telephone_number": "830-672-8502",
            "fax_number": "830-672-3035",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOMEL",
        "first_name": "HEATHER",
        "middle_name": "BROOKE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-20",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1052400",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1052400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mhghdomel@gonzhealthsys.cernerdirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Micorsoft word",
            "address_1": "207 W 7th St",
            "city": "Shiner",
            "state": "TX",
            "country_code": "US",
            "postal_code": "779845873",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Shiner, TX

Sources for this page

Verify at the official NPI Registry.