Ellen Grace Martinez Dominguez, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

APRN11033161 Issued in FL

Practice address

5115 US Highway 27 N Ste 100
Sebring, FL 33870-1323

Phone

(863) 385-2222

Fax

(863) 382-8765

NPI assigned

Jun 4, 2024

Last updated

May 15, 2025By the provider in NPPES

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 FL

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, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Florida Joint and Spine Institute PAGroup PAC ID 0547168114, 13 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adventhealth Sebring Hospital, Sebring, FL, CCN 100109
• HCA Florida Highlands Hospital Hospital, Sebring, FL, CCN 100049
• Desoto Memorial Hospital Hospital, Arcadia, FL, CCN 100175

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

Interoperability endpoints

• Direct secure messaging: ellen.dominguez@floridajointandspine.directbygreenway.com
• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71998

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.

• Florida Joint & Spine Institute PA

  • Orthopaedic Surgery Physician
  • Sebring, FL
  • NPI 1992705487
  Medicare reassignment Care Compare group NPD
• Florida Joint & Spine Institute PA

  • Durable Medical Equipment & Medical Supplies
  • Winter Haven, FL
  • NPI 1215526884
  NPD
• Florida Cancer Specialists & Research Institute, LLC

  • Medical Oncology Physician
  • Cape Coral, FL
  • NPI 1760590962
  NPD (past)

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

• Adventist Health System-Sunbelt Inc

  dba AdventHealth Cancer Institute Sebring

  • General Acute Care Hospital
  • Sebring, FL
  • NPI 1083692594
  Care Compare affiliation
• Desoto County Hospital District

  dba Desoto Memorial Hospital

  • Rural Acute Care Hospital
  • Arcadia, FL
  • NPI 1528387842
  Care Compare affiliation
• Sebring Health Services, LLC

  dba HCA Florida Highlands Hospital

  • General Acute Care Hospital
  • Sebring, FL
  • NPI 1598282246
  Care Compare affiliation

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

{
    "created_epoch": "1717459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747267200000",
    "number": "1659112605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4432 MADERIA AVE",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338722126",
            "telephone_number": "863-873-5292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5115 US HIGHWAY 27 N STE 100",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338701323",
            "telephone_number": "863-385-2222",
            "fax_number": "863-382-8765"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "146 Avenue B NW",
            "address_purpose": "LOCATION",
            "city": "Winter Haven",
            "state": "FL",
            "postal_code": "338814506",
            "country_code": "US",
            "telephone_number": "863-299-3210",
            "fax_number": "863-299-2968",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOMINGUEZ",
        "first_name": "ELLEN GRACE",
        "middle_name": "MARTINEZ",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-04",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11033161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lawrence Joseph Disipio, P.T.,A.T.C.
• Dixie Highway Inpatient Services LLC
• Juliet M Dobson, RD
• Doctors' Pain Management Associates, LLC (Advanced Neurospine Associates)
• Jessey Robert Dombroski
• Zechariah Paolo Martinez Dominguez, ARNP
• Kevin Harold Dominique
• Valerie Ruth Anne Dorn, A.R.N.P.
• Elisa W Dorrough-Ewing, LCSW
• Katiuska Dos Santos, MD

• Nurse Practitioner in Sebring, FL
• Providers in Sebring, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2025; 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.