Mrs Shawna L W Dominguez, CNP in Apache Junction, AZ

Mrs Shawna L W Dominguez, CNP is a medicare enrolled "Nurse Practitioner - Family" in Apache Junction, Arizona. 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 Mimbres Internal Medicine Pa and her current practice location is 183 W Apache Trl Ste B109, Apache Junction, Arizona. You can reach out to her office (for appointments etc.) via phone at (480) 618-0945.

Mrs Shawna L W Dominguez is licensed to practice in Arizona (license number 308088) 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 1568015873.

Contact Information

	Mrs Shawna L W Dominguez, CNP
	183 W Apache Trl Ste B109, Apache Junction, AZ 85120-3425
	(480) 618-0945
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Shawna L W Dominguez
Gender	Female
Speciality	Nurse Practitioner
Experience	5 Years
Location	183 W Apache Trl Ste B109, Apache Junction, Arizona
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 Shawna L W Dominguez graduated from nursing school in 2019

NPI Data:

NPI Number: 1568015873
Provider Enumeration Date: 07/17/2019
Last Update Date: 07/18/2024

Medicare PECOS Information:

PECOS PAC ID: 8921336181
Enrollment ID: I20190826002376

Medical Identifiers

Medical identifiers for Mrs Shawna L W Dominguez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568015873	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	56979 (New Mexico)	Secondary
363LF0000X	Nurse Practitioner - Family	308088 (Arizona)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Ambercare Home Health Care Corporation	Silver city, NM	Home health agency
Mimbres Memorial Hospital	Deming, NM	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mimbres Internal Medicine Pa	7719971522	5

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 Shawna L W Dominguez allows following entities to bill medicare on her behalf.

Entity Name	Silver Health Care Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548291586 PECOS PAC ID: 5698668333 Enrollment ID: O20040205000751

Entity Name	Mimbres Internal Medicine Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083728109 PECOS PAC ID: 7719971522 Enrollment ID: O20040414000183

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 Shawna L W 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 Shawna L W Dominguez, CNP Po Box 746093, Atlanta, GA 30374-6093 Ph: (480) 618-0945	Mrs Shawna L W Dominguez, CNP 183 W Apache Trl Ste B109, Apache Junction, AZ 85120-3425 Ph: (480) 618-0945

Reviews and Comments

Nurse Practitioner Nurses in Apache Junction, AZ

Mrs. Janet Ann Callon, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 625 N Plaza Dr, Apache Junction, AZ 85120 Phone: 480-983-0065 Fax: 480-983-0896
Cassidy Lorraine Ducray, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 625 N Plaza Dr, Apache Junction, AZ 85120 Phone: 833-431-4449
Mrs. Fernanda Castaneda, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 183 W Apache Trl # B109, Apache Junction, AZ 85120 Phone: 480-887-9743
Mrs. Janina Marie Elkin, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 105 S Delaware Dr Ste 1, Apache Junction, AZ 85120 Phone: 480-646-1001 Fax: 480-646-1002
Mary Joyce Grubb, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10633 E Apache Trl, Suite 106, Apache Junction, AZ 85120 Phone: 480-984-1542 Fax: 480-986-6436
Melinda Marie Ramsdell, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2440 S Ironwood Dr, Apache Junction, AZ 85120 Phone: 602-755-0800
Elizabeth Kearney, RN, NO-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 847 N Sunset Rd, Apache Junction, AZ 85119 Phone: 480-528-2736

Mrs Shawna L W Dominguez, CNP - Medicare Nurse Practitioner in Apache Junction, AZ