ADAMARIS DOMENECH – Nurse Practitioner, NPI 1417661398

ADAMARIS DOMENECH is a healthcare provider. based in West miami, Florida. specializing in NURSE PRACTITIONER. They hold a License No. APRN11004404 (FL). The NPI Number for ADAMARIS DOMENECH is 1417661398

Main info

Female
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
ADAMARIS DOMENECH
NPI
1417661398
Phone
(305) 587-2747
Address
6400 SW 8th St
Enumeration Date
5 January 2023
Last Update Date
11 January 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3055872747
Graduation Year
2019 (7 years ago)
PAC ID
2365809043
Group Practice PAC ID
7214316868
Professional Enrollment ID
I20230612002260
Address ID
FL331444184MI6400XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness75
Years active:3State licenses:1Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for ADAMARIS DOMENECH

  • 6400 SW 8th St

    West Miami, FL 331444814

    Phone: (305) 587-2747

    Type: Location

  • 860 NW 42ND AVE

    FL 5

    MIAMI, FL 331263014

    Phone: (305) 504-7885

    Type: Mailing

  • 860 NW 42ND AVE. SUITE 101

    MIAMI, FL 33126

    Phone: (305) 204-0333

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $37.

Total Amount is formed as General ($37) + Research ($0) + Ownership ($0) = $37.

Last reported payment date: 2024-09-20 • Largest payer in this snapshot: Bayer Healthcare Pharmaceuticals Inc. ($22).

Total Amount

$37

General + Research + Ownership

Payments

2

Total payment records

General Amount

$37

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-20

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2023-06-12

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
I20230612002260INurse PractitionerFLTBD

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 33144)

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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: 7214316868View full group profile
NameSpecialtyState
General PracticeFL
Family PracticePR
General PracticeFL
Nurse PractitionerFL
Internal MedicineFL
General PracticeFL
Nurse PractitionerFL
General PracticeFL
Nurse PractitionerFL
Internal MedicineFL

Reviews

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Frequently asked questions

What unique ID ties claims to ADAMARIS DOMENECH?
NPI 1417661398 is assigned to ADAMARIS DOMENECH under the national enumeration system.
Is ADAMARIS DOMENECH currently active in the NPI registry?
CMS-published data lists ADAMARIS DOMENECH as an active registrant.
What kind of provider is ADAMARIS DOMENECH?
The page reflects Nurse Practitioner for ADAMARIS DOMENECH. Clinical services aligned with this taxonomy classification.
Where does public data place ADAMARIS DOMENECH?
The snapshot lists West Miami, Florida for ADAMARIS DOMENECH; download NPPES for the complete set.
What if West Miami, Florida seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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