JOANNA BETH DOMINICK (DNP, PMHNP-BC, FNP-C) – Psychiatric/Mental Health Nurse Practitioner, NPI 1174788145
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,201 NURSE PRACTITIONER in CO
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Provider Addresses for JOANNA BETH DOMINICK (DNP, PMHNP-BC, FNP-C)
72 SUTTLE ST
SUITE B
DURANGO, CO 81303
Phone: (970) 444-2429
Fax: (630) 647-4726
Type: Mailing
East 3rd Avenue, Durango, La Plata County, Colorado, 81302, United States
DURANGO, CO 813015046
Phone: (970) 444-2429
Fax: (970) 445-1671
Type: Mailing
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.
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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: 2020-01-14
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20090923000073 | I | Nurse Practitioner | CO | TBD |
| I20200114000573 | I | Nurse Practitioner | NM | TBD |
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.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 88 | 17 | $0 |
| 90833 | Psychotherapy with evaluation and management visit, 30 minutes | 79 | 17 | $0 |
| Q3014 | Telehealth originating site facility fee | 64 | 14 | $0 |
Insurance plans in this area (ZIP 81303)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | NM | |
| Clinical Social Worker | NM | |
| - | NM | |
| Nurse Practitioner | NM | |
| Nurse Practitioner | NM | |
| - | IN | |
| Clinical Social Worker | NM | |
| - | NM |
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