Kimberly Marie Domalewicz, FNP-BC - Medicare Nurse Practitioner in Troy, NY

Kimberly Marie Domalewicz, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Troy, New York. She graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Samaritan Hospital Of Troy, New York and her current practice location is 2231 Burdett Ave Ste 110, Troy, New York. You can reach out to her office (for appointments etc.) via phone at (518) 271-3900.

Kimberly Marie Domalewicz is licensed to practice in New York (license number 341343) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1114449030.

Contact Information

Kimberly Marie Domalewicz, FNP-BC
2231 Burdett Ave Ste 110,
Troy, NY 12180-2447
(518) 271-3900
(518) 271-3914

Map and Direction




Provider's Profile

Full NameKimberly Marie Domalewicz
GenderFemale
SpecialityNurse Practitioner
Experience8 Years
Location2231 Burdett Ave Ste 110, Troy, New York
Accepts Medicare AssignmentsMay be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kimberly Marie Domalewicz graduated from nursing school in 2016
  NPI Data:
  • NPI Number: 1114449030
  • Provider Enumeration Date: 07/12/2017
  • Last Update Date: 06/29/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 0042622185
  • Enrollment ID: I20201215001834

Medical Identifiers

Medical identifiers for Kimberly Marie Domalewicz such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114449030NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 341343 (New York)Primary
207V00000XObstetrics & Gynecology 341343 (New York)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Samaritan HospitalTroy, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Samaritan Hospital Of Troy, New York6507770070181

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kimberly Marie Domalewicz allows following entities to bill medicare on her behalf.
Entity NameSamaritan Hospital Of Troy, New York
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043267727
PECOS PAC ID: 6507770070
Enrollment ID: O20031118000782
Entity NameW Bruce Clark Md Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396959110
PECOS PAC ID: 6608839162
Enrollment ID: O20041108000166
Entity NameSt. Peter's Health Partners Medical Associates, P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750626834
PECOS PAC ID: 6103061189
Enrollment ID: O20130321000567

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kimberly Marie Domalewicz is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kimberly Marie Domalewicz, FNP-BC
Po Box 14890,
Albany, NY 12212-4890

Ph: (518) 525-5634
Kimberly Marie Domalewicz, FNP-BC
2231 Burdett Ave Ste 110,
Troy, NY 12180-2447

Ph: (518) 271-3900

Reviews and Comments


Nurse Practitioner Nurses in Troy, NY

Kelly Lynne Hearne, MS, RN, PMHNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2215 Burdett Ave, Troy, NY 12180
Phone: 518-271-3554    
Shauna Marie Paris, PNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 258 Hoosick St Ste 100, Troy, NY 12180
Phone: 518-272-0232    Fax: 518-272-4083
Amy J Nistico, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2215 Burdett Ave, Troy, NY 12180
Phone: 188-336-4705    Fax: 518-271-3682
Carl Mark Cacciotti, AGNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 81 Sweetmilk Creek Rd, Troy, NY 12180
Phone: 518-330-3396    
Mrs. Leshaun Angmor, F.N.P
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 315 2nd Ave, Suite 2, Troy, NY 12182
Phone: 518-235-8034    
Ericka Mae Matzen, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1401 Massachusetts Ave, Troy, NY 12180
Phone: 518-268-6265    
Rita A Alowitz,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2 New Hampshire Ave, Troy, NY 12180
Phone: 518-272-0331    Fax: 518-270-6280

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.