Angelique Lynn Domonoske, MSN, APRN, AGACNP-BC

Primary specialty

Critical Care Medicine Nurse PractitionerTaxonomy code 363LC0200X

License

AP143324 Issued in TX

Practice address

690 S Loop 336 W Ste 200
Conroe, TX 77304-3320

Phone

(832) 233-2270

NPI assigned

Oct 7, 2019

Last updated

Apr 17, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: angelique.domonoske.p1@direct.mphcc.nextgenshare.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Adnan Afzal, MD PA

  dba Healing Hearts Clinic

  • Cardiovascular Disease Physician
  • Conroe, TX
  • NPI 1396935714
  Medicare reassignment NPD
• Emergency Medicine Services of TX, PLLC

  • Emergency Medicine Physician
  • San Antonio, TX
  • NPI 1245938729
  Medicare reassignment NPD
• Hospital Medicine Services of TX, PLLC

  • Hospitalist Physician
  • San Antonio, TX
  • NPI 1881392363
  Medicare reassignment NPD
• Intensivist Medicine Services of TX, PLLC

  • Critical Care Medicine (Internal Medicine) Physician
  • Houston, TX
  • NPI 1790478444
  Medicare reassignment NPD
• Post Acute Specialists of Texas PA

  • Geriatric Medicine (Family Medicine) Physician
  • Austin, TX
  • NPI 1942859350

  Nurse Practitioner

  Medicare reassignment NPD
• Millennium Physicians Association, PLLC

  dba Millennium Oncology

  • Multi-Specialty Clinic/Center
  • The Woodlands, TX
  • NPI 1255397733
  NPD (past)

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

{
    "created_epoch": "1570406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713312000000",
    "number": "1396386827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2204 JEFFERSON CROSSING DR",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773046804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 S LOOP 336 W STE 200",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773043320",
            "telephone_number": "832-233-2270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMONOSKE",
        "first_name": "ANGELIQUE",
        "middle_name": "LYNN",
        "name_prefix": "Prof.",
        "credential": "MSN, APRN, AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-07",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP143324",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "AP143324",
            "primary": false
        },
        {
            "code": "363LC0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Critical Care Medicine",
            "state": "TX",
            "license": "AP143324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Doan
• Mary Gail Doddridge, RN
• Savannah Breann Dodds, OD
• Denise R Dodson, RN
• Guillermo Dominguez
• Ryan Weston Donham
• Abigail Elizabeth Dorow
• Samantha Doskocil
• Emma Katherine Stacey Doty
• Lauren Doty, MS, CCC-SLP

• Critical Care Medicine Nurse Practitioner in Conroe, TX
• Providers in Conroe, TX by specialty
• Critical Care Medicine Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.