Anjelica Dominguez, FNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

1086335 Issued in TX

Practice address

609 S Carolina St
Amarillo, TX 79106-8721

Phone

(806) 803-9486

NPI assigned

Jun 29, 2022

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, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

FMC Medical Foundation, Inc.Group PAC ID 9133341795, 37 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bsa Compassion Home Care Home health agency, Amarillo, TX, CCN 677943
• Bsa Hospital Hospital, Amarillo, TX, CCN 450231
• Quail Creek Surgical Hospital Hospital, Amarillo, TX, CCN 450875

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: anjelica.dominguez.1@33715.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• FMC Medical Foundation, Inc.

  • Family Medicine Physician
  • Amarillo, TX
  • NPI 1104255272
  Medicare reassignment Care Compare group NPD

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

• Bsa Hospital LLC

  • General Acute Care Hospital
  • Amarillo, TX
  • NPI 1407191984
  Care Compare affiliation
• Camden Bay LTD

  • Home Health Agency
  • Amarillo, TX
  • NPI 1245426527
  Care Compare affiliation
• Physicians Surgical Hospitals, LLC

  • General Acute Care Hospital
  • Amarillo, TX
  • NPI 1912948845
  Care Compare affiliation

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

{
    "created_epoch": "1656460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656460800000",
    "number": "1811629652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 S CAROLINA ST",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791068721",
            "telephone_number": "806-803-9486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 S CAROLINA ST",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791068721",
            "telephone_number": "806-803-9486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMINGUEZ",
        "first_name": "ANJELICA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-29",
        "last_updated": "2022-06-29",
        "certification_date": "2022-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1086335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sydney Dodson
• David Doherty
• Kate Dolezal
• Meagan Nichole Dolezal, CRNA
• Domain Surgical, LLC
• Erica Dominguez, PHARMD
• Paige Dominguez
• Donald Hubbard M.D.,PA
• Lonnie Donaldson, PHARMACIST
• Denise Mills Donnell, LMSW

• Nurse Practitioner in Amarillo, TX
• Providers in Amarillo, TX by specialty
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.