Mrs Kelli D Dominguez, NP-C in Albuquerque, NM

Mrs Kelli D Dominguez, NP-C is a medicare enrolled "Nurse Practitioner - Family" in Albuquerque, New Mexico. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Southwest Medical Associates, Llc and her current practice location is 10501 Golf Course Rd Nw, Albuquerque, New Mexico. You can reach out to her office (for appointments etc.) via phone at (505) 727-8000.

Mrs Kelli D Dominguez is licensed to practice in New Mexico (license number 58658) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1447893128.

Contact Information

	Mrs Kelli D Dominguez, NP-C
	10501 Golf Course Rd Nw, Albuquerque, NM 87114-5019
	(505) 727-8000
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Kelli D Dominguez
Gender	Female
Speciality	Nurse Practitioner
Experience	5 Years
Location	10501 Golf Course Rd Nw, Albuquerque, New Mexico
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Kelli D Dominguez graduated from nursing school in 2019

NPI Data:

NPI Number: 1447893128
Provider Enumeration Date: 10/24/2019
Last Update Date: 12/23/2019

Medicare PECOS Information:

PECOS PAC ID: 9830525229
Enrollment ID: I20200203001699

Medical Identifiers

Medical identifiers for Mrs Kelli D Dominguez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1447893128	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	58658 (New Mexico)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Lovelace Medical Center	Albuquerque, NM	Hospital
Lovelace Women's Hospital	Albuquerque, NM	Hospital
Lovelace Westside Hospital	Albuquerque, NM	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southwest Medical Associates, Llc	7214831114	307

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. Mrs Kelli D Dominguez allows following entities to bill medicare on her behalf.

Entity Name	Southwest Medical Associates, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164491072 PECOS PAC ID: 7214831114 Enrollment ID: O20031121000724

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. Mrs Kelli D Dominguez 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 Address	Practice Location Address
Mrs Kelli D Dominguez, NP-C 10501 Golf Course Rd Nw, Albuquerque, NM 87114-5019 Ph: (505) 727-8000	Mrs Kelli D Dominguez, NP-C 10501 Golf Course Rd Nw, Albuquerque, NM 87114-5019 Ph: (505) 727-8000

Reviews and Comments

Nurse Practitioner Nurses in Albuquerque, NM

Mrs. Kristell L Michael, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Us Air Force 377 Mdg/sghc 2050a Second Street Se, Albuquerque, NM 87117 Phone: 505-846-3562 Fax: 334-953-8607
Mr. Michael Alan Wallace, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8210 Louisiana Blvd Ne, Suite C, Albuquerque, NM 87113 Phone: 505-858-1222 Fax: 505-858-1224
Ms. Maureen Kolomeir, RN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5345 Wyoming Blvd, Suite 101, Albuquerque, NM 87109 Phone: 505-856-6898 Fax: 505-292-1574
Patricia J Miller, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: Care Campus, 5901 Zuni Rd Se, Albuquerque, NM 87108 Phone: 505-321-4269
Mrs. Jessika Junick, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3825 Eubank Blvd Ne Ste A, Albuquerque, NM 87111 Phone: 505-292-8575 Fax: 505-292-8409
Phyllis Annette Ingham, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1100 Lead Ave Se, Albuquerque, NM 87106 Phone: 505-224-7000
Debra Vaccaro, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3500 Comanche Rd Ne Ste C, Albuquerque, NM 87107 Phone: 505-998-7200 Fax: 505-998-7220

Mrs Kelli D Dominguez, NP-C - Medicare Nurse Practitioner in Albuquerque, NM