Individual provider Active NPI

Nicole Marie Domanski, MS, APRN, FNP-C

  • Family Nurse Practitioner
  • Flemington, NJ
National Provider Identifier
1477995793
Registry record updated Jul 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ00452800 Issued in NJ
Practice address
1100 Wescott Dr
Suite 101
Flemington, NJ 08822-4600
Phone
(908) 788-6535
Fax
(908) 788-6536
NPI assigned
Jul 29, 2013
Last updated
Jul 29, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ00452800 NJ Primary

Addresses

Primary practice location

1100 Wescott Dr
Suite 101
Flemington, NJ 08822-4600

Mailing address

1100 Wescott Dr
Suite 101
Flemington, NJ 08822-4600
Phone (908) 788-6535

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20140320000035 NJ Practitioner - Nurse Practitioner 4486885282 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Georgetown University School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hunterdon Primary Care PCGroup PAC ID 4486951183, 62 clinicians

Practice addresses (Care Compare)

1100 Wescott Dr
Flemington, NJ 08822-4600
Phone (908) 788-6535

2100 Wescott Dr
Flemington, NJ 08822-4603
Phone (908) 284-1125

2100 Wescott Drive Mso 5TH FL
Flemington, NJ 08822-4603

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ00452800NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hunterdon Primary Care PC CurrentSince Apr 1, 2017 Accepting new patients
Hunterdon Primary Care PC Current Accepting new patients
Hunterdon Primary Care, PC CurrentSince Apr 1, 2017 Accepting new patients
Hunterdon Primary Care PC Past Accepting new patients

Locations

1100 Wescott Dr
Ste 101
Flemington, NJ 08822
Phone (908) 303-2110

2100 Wescott Dr
Flemington, NJ 08822
Phone (908) 237-5420

215 State Route 31
#116
Flemington, NJ 08822

Interoperability endpoints

  • Direct secure messaging: nicole.domanski.p2@direct.hunterdon.nextgenshare.com

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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": "1375056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375056000000",
    "number": "1477995793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 WESCOTT DR",
            "address_2": "SUITE 101",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "088224600",
            "telephone_number": "908-788-6535",
            "fax_number": "908-788-6536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 WESCOTT DR",
            "address_2": "SUITE 101",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "088224600",
            "telephone_number": "908-788-6535",
            "fax_number": "908-788-6536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMANSKI",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "credential": "MS, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-29",
        "last_updated": "2013-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00452800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flemington, NJ

Sources for this page

Verify at the official NPI Registry.