Stacy Dominy, APRN, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1071476 Issued in TX

Practice address

3070 College St Ste 300
Beaumont, TX 77701-4667

Phone

(409) 892-4600

Fax

(409) 892-4605

NPI assigned

Jan 29, 2021

Last updated

Mar 8, 2022By 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 1

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Coastal Spine and Pain Institute PLLCGroup PAC ID 0042500100, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Christus Jasper Memorial Hospital Hospital, Jasper, TX, CCN 450573

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/FJBIAD/Endpoint/FJBIAD
• Direct secure messaging: stacy.dominy@473407025774596.direct.elationemr.com

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.

• Coastal Spine & Pain Institute, PLLC

  • Specialist
  • Beaumont, TX
  • NPI 1093184921
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Christus Health Southeast Texas

  dba CHRISTUS Southeast Texas - Jasper Memorial

  • Rural Acute Care Hospital
  • Jasper, TX
  • NPI 1598749707
  Care Compare affiliation

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

{
    "created_epoch": "1611878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646697600000",
    "number": "1427649706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3070 COLLEGE ST STE 300",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777014667",
            "telephone_number": "409-892-4600",
            "fax_number": "409-892-4605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3070 COLLEGE ST STE 300",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777014667",
            "telephone_number": "409-892-4600",
            "fax_number": "409-892-4605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMINY",
        "first_name": "STACY",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-29",
        "last_updated": "2022-03-08",
        "certification_date": "2022-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1071476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariah Dolbow, COTA/L
• Jackson Dolce, OD
• Charles Chester Domingues, M.D.
• Kayla Dominguez, PA
• Dominique J Beaudry MD PA
• Denise Lynn Donahue, LPC-A
• Jennifer L Dorrell, M.S. LPC
• Katherine Ann Dos Santos, OTR
• Doshi Neonatal Associates PLLC
• Arpan Rameshchandra Doshi, M.D.

• Family Nurse Practitioner in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2022; 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.