Individual provider Active NPI

Dominique A Uva, FNP-C

  • Family Nurse Practitioner
  • Elmira, NY
National Provider Identifier
1316351133
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP171181 Issued in ME
Practice address
600 Roe Ave
Arnot Ogden Medical Center
Elmira, NY 14901
Phone
(607) 737-4100
Fax
(607) 271-7080
NPI assigned
Jun 19, 2014
Last updated
Apr 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 338763 NY
Family Nurse Practitioner 363LF0000X 338763 NY
Family Nurse Practitioner 363LF0000X CNP171181 ME Primary

Addresses

Primary practice location

600 Roe Ave
Arnot Ogden Medical Center
Elmira, NY 14901

Mailing address

5941 Farrington Road
Cicero, NY 13039
Phone (315) 935-3882

Other practice location 1

555 Saint Josephs Blvd
Elmira, NY 14901-3223
Phone (607) 737-7770

Other practice location 2

111 Franklin Health Cmns
Farmington, ME 04938-6144
Phone (207) 779-2456

Other identifiers 2

IdentifierTypeStateIssuer
0399067MedicaidNY
03990672MedicaidNY

Other names 1

  • Dominique A Guadalupe Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, ME2 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
I20140916000186 NY Practitioner - Nurse Practitioner 5597984070 Reassigns benefits to 1 organization
I20180129001524 ME Practitioner - Nurse Practitioner 5597984070 Reassigns benefits to 11 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MainehealthGroup PAC ID 7517860588, shared by 31 NPIs, 2,616 clinicians
Navigating Wellness Primary Care PLLCGroup PAC ID 4789124025, 6 clinicians

Practice addresses (Care Compare)

111 Franklin Health CMNS
Farmington, ME 04938-6144
Phone (207) 779-3113

181 Franklin Health CMNS
Farmington, ME 04938-6144

22 Bramhall St
Portland, ME 04102-3134
Phone (207) 885-9905

50 Columbia St
Suite 62
Bangor, ME 04401-6331
Phone (407) 850-8199

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75.94 of 100Reported as group
Quality
47.72
Promoting interoperability
99
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
90.63 of 100Reported as group
Quality
77.69
Promoting interoperability
95
Improvement activities
40
Cost
78.59

Merit-based Incentive Payment System (MIPS)

Final score
97.93 of 100Reported as apm
Quality
83.31
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
338763NYMDObstetrics & Gynecology Physician
CNP171181MEMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Central Maine Medical Center CurrentSince Mar 1, 2020 Accepting new patients
Bridgton Hospital CurrentSince Mar 1, 2020 Accepting new patients
Rumford Hospital CurrentSince Mar 1, 2020 Accepting new patients
Navigating Wellness Primary Care PLLC Nurse Practitioner CurrentSince Mar 1, 2026 Accepting new patients
Bridgton Hospital CurrentSince Mar 1, 2020 Accepting new patients
Mainehealth CurrentSince Dec 3, 2017 Accepting new patients
North Country Orthopaedic Group PC Family CurrentSince Jun 21, 2017 Accepting new patients
Central Maine Medical Center CurrentSince Mar 1, 2020 Accepting new patients
Mainehealth CurrentSince Mar 9, 2024 Accepting new patients
Mainely Diabetes and Endocrine Care PLLC Family CurrentSince Sep 1, 2025 Accepting new patients
Mainehealth Current Accepting new patients
Evergreen Senior Healthcare of Maine, LLC CurrentSince Nov 24, 2025 Accepting new patients
Mainehealth Current Accepting new patients
Rumford Hospital CurrentSince Mar 1, 2020 Accepting new patients

Locations

108 Anthony Ave
Augusta, ME 04330
Phone (207) 544-8411

50 Columbia St
Ste 62
Bangor, ME 04401
Phone (407) 850-8199

10 Hospital Dr
Bridgton, ME 04009
Phone (207) 647-6000

111 Franklin Health Cmns
Farmington, ME 04938
Phone (207) 778-3326

300 Main St
Lewiston, ME 04240
Phone (207) 795-2400

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

420 Franklin St
Rumford, ME 04276
Phone (207) 364-4581

1571 Washington St
Ste 201
Watertown, NY 13601
Phone (315) 782-1650

Interoperability endpoints

  • Direct secure messaging: duva244649@direct.mmc.mainehealth.org
  • FHIR API: https://fhir-myrecord.cerner.com/r4/4517c430-03bf-4e32-b324-1387cc4e73f3/

Organizations & group practices 14

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.

View all 14

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": "1403136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743465600000",
    "number": "1316351133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5941 FARRINGTON ROAD",
            "city": "CICERO",
            "state": "NY",
            "postal_code": "13039",
            "telephone_number": "315-935-3882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 ROE AVE",
            "address_2": "ARNOT OGDEN MEDICAL CENTER",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "14901",
            "telephone_number": "607-737-4100",
            "fax_number": "607-271-7080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "555 Saint Josephs Blvd",
            "address_purpose": "LOCATION",
            "city": "Elmira",
            "state": "NY",
            "postal_code": "149013223",
            "country_code": "US",
            "telephone_number": "607-737-7770",
            "fax_number": "607-271-3686",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "111 Franklin Health Cmns",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "ME",
            "postal_code": "049386144",
            "country_code": "US",
            "telephone_number": "207-779-2456",
            "fax_number": "207-779-2496",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UVA",
        "first_name": "DOMINIQUE",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-19",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "338763",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "338763",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ME",
            "license": "CNP171181",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0399067",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03990672",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DOMINIQUE",
            "last_name": "GUADALUPE",
            "middle_name": "A",
            "credential": "FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Elmira, NY

Sources for this page

Verify at the official NPI Registry.