Individual provider Active NPI

Erik Jon Dominger, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Grants Pass, OR
National Provider Identifier
1396114955
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
202204953NP-PP Issued in OR
Practice address
215 SE 6TH St Ste 310
Grants Pass, OR 97526-2471
Phone
(541) 476-2373
Fax
(541) 476-1526
NPI assigned
Sep 24, 2015
Last updated
Aug 19, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 202204953NP-PP OR Primary
Mental Health Counselor 101YM0800X NU
Registered Nurse 163W00000X 201502991RN OR

Addresses

Primary practice location

215 SE 6TH St Ste 310
Grants Pass, OR 97526-2471

Mailing address

1630 Williams Hwy # 279
Grants Pass, OR 97527-5660
Phone (541) 476-2373

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20220504001636 OR Practitioner - Nurse Practitioner 2365839768 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
Paradigm Mental Health and Wellness LLCGroup PAC ID 2961808076, 3 clinicians

Practice addresses (Care Compare)

724 S Central Ave
Suite 101D
Medford, OR 97501-7808
Phone (541) 249-7724

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Paradigm Mental Health and Wellness LLC Psychiatric/Mental Health CurrentSince Aug 1, 2022 Accepting new patients
Blomstra Behavioral Health, LLC Psychiatric/Mental Health CurrentSince Jul 22, 2025 Accepting new patients
Options for Southern Oregon Past Accepting new patients

Locations

1630 Williams Hwy
Grants Pass, OR 97527
Phone (541) 761-7329

215 SE 6th St
Ste 310
Grants Pass, OR 97526

724 S Central Ave
Ste 101
Medford, OR 97501
Phone (541) 249-7724

724 S Central Ave
Ste 101D
Medford, OR 97501
Phone (541) 249-7724

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, 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": "1443052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787097600000",
    "number": "1396114955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 WILLIAMS HWY # 279",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975275660",
            "telephone_number": "541-476-2373",
            "fax_number": "541-476-1526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 SE 6TH ST STE 310",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975262471",
            "telephone_number": "541-476-2373",
            "fax_number": "541-476-1526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMINGER",
        "first_name": "ERIK",
        "middle_name": "JON",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-24",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "202204953NP-PP",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OR",
            "license": "201502991RN",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grants Pass, OR

Sources for this page

Verify at the official NPI Registry.