RUBI DOMINGUEZ RAKEL (AGACNP-BC) – Nurse Practitioner, NPI 1104590835

RUBI DOMINGUEZ RAKEL (AGACNP-BC) is a healthcare provider. based in Parker, Colorado. specializing in NURSE PRACTITIONER. They hold the professional credentials AGACNP-BC. They hold a License No. 996608 (CO). The NPI Number for RUBI DOMINGUEZ RAKEL (AGACNP-BC) is 1104590835

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
RUBI DOMINGUEZ RAKEL (AGACNP-BC)
NPI
1104590835
Phone
(720) 644-9355
Address
12230 LIONESS WAY
Enumeration Date
5 August 2021
Last Update Date
1 February 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7206273761
Graduation Year
2021 (5 years ago)
PAC ID
4284039629
Group Practice PAC ID
8022927342
Professional Enrollment ID
I20210823001873
Address ID
CO800239206WE14300PKWY300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:4State licenses:1Digital endpointsOther names

5,201 NURSE PRACTITIONER in CO

Provider Addresses for RUBI DOMINGUEZ RAKEL (AGACNP-BC)

  • 12230 LIONESS WAY

    PARKER, CO 801345603

    Phone: (720) 644-9355

    Type: Mailing

  • 12230 Lioness Way

    Parker, CO 801345603

    Phone: (720) 644-9355

    Type: Location

  • PO BOX 800022

    KANSAS CITY, MO 641800022

    Phone: (800) 953-0104

    Fax: (303) 765-6670

    Type: Mailing

  • 14300 ORCHARD PKWY

    WESTMINSTER, CO 80023

    Phone: (720) 627-3761

    Fax: (720) 627-3758

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-08-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210823001873INurse PractitionerCOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 80134)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8022927342View full group profile
NameSpecialtyState
Physician AssistantCO
Radiation OncologyTX
-CO
Hospitalist, General Practice, Family PracticeCO
Cardiovascular Disease (Cardiology)NM
Family PracticeOK
Internal MedicineCO
-IL
H E M A T O L O G Y/ O N C O L O G YTX
Internal MedicinePA

Reviews

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Frequently asked questions

How do I look up RUBI DOMINGUEZ RAKEL (AGACNP-BC) by NPI?
Use NPI 1104590835 when you need to reference RUBI DOMINGUEZ RAKEL (AGACNP-BC) in forms, claims, or directories.
Does this profile mean RUBI DOMINGUEZ RAKEL (AGACNP-BC) is currently active?
Yes — RUBI DOMINGUEZ RAKEL (AGACNP-BC) appears active in the national provider directory.
What kind of provider is RUBI DOMINGUEZ RAKEL (AGACNP-BC)?
The page reflects Nurse Practitioner for RUBI DOMINGUEZ RAKEL (AGACNP-BC). Clinical services aligned with this taxonomy classification.
Where is RUBI DOMINGUEZ RAKEL (AGACNP-BC)'s primary listing?
We display Parker, Colorado because that is what the record indicates for RUBI DOMINGUEZ RAKEL (AGACNP-BC).
How can I contact RUBI DOMINGUEZ RAKEL (AGACNP-BC)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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