Dominique Marques, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP021835 Issued in PA

Practice address

904 Sumneytown Pike Ste 100
Lower Gwynedd, PA 19002-1321

Phone

(215) 542-0655

NPI assigned

Apr 22, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Springhouse Dermatology IncGroup PAC ID 1153641998, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/ez_00282

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.

• Springhouse Dermatology Inc

  • Specialist
  • Lower Gwynedd, PA
  • NPI 1487041257
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1587513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630368000000",
    "number": "1376163113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 SUMNEYTOWN PIKE STE 100",
            "city": "LOWER GWYNEDD",
            "state": "PA",
            "postal_code": "190021321",
            "telephone_number": "215-542-0655",
            "fax_number": "215-542-1448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 SUMNEYTOWN PIKE STE 100",
            "city": "LOWER GWYNEDD",
            "state": "PA",
            "postal_code": "190021321",
            "telephone_number": "215-542-0655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARQUES",
        "first_name": "DOMINIQUE",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-22",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP021835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janet Lee Lewis, CNM
• Lime Tree Counseling, LLC
• Linda Malisan O.D. & Associates
• Joseph F Mambu, MD
• Hillary N Marcus, M.D.
• Lawrence D Mass, MD
• Catherine Bridget McCormick, DO
• Alina McGilloway, LMT
• Jennifer Lee McGuoirk, MS,RD,LDN
• Mary M McMenamin, RD,LDN

• Family Nurse Practitioner in Lower Gwynedd, PA
• Providers in Lower Gwynedd, PA by specialty
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.