EVELYN DOMINGUEZ – Nurse Practitioner, NPI 1568444966

EVELYN DOMINGUEZ is a healthcare provider. based in Royal palm beach, Florida. specializing in NURSE PRACTITIONER. They hold a License No. RN9458773 (FL). The NPI Number for EVELYN DOMINGUEZ is 1568444966

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
EVELYN DOMINGUEZ
NPI
1568444966
Phone
(561) 798-6600
Address
440 STATE RD #7
Enumeration Date
19 November 2005
Last Update Date
22 July 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5617986600
Graduation Year
2021 (5 years ago)
PAC ID
1355745183
Group Practice PAC ID
3678568227
Professional Enrollment ID
I20210802001321
Address ID
FL334454707DE190XXDRXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness75
Years active:20State licenses:2Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

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Provider Addresses for EVELYN DOMINGUEZ

  • 440, State Road 7, Royal Palm Beach, Palm Beach County, Florida, 33414, United States

    STE E

    ROYAL PALM BEACH, FL 33411

    Phone: (561) 798-6600

    Fax: (561) 615-1958

    Type: Location

  • Forest Hill Boulevard, West Palm Beach, Palm Beach County, Florida, 33406, United States

    STE 230

    WEST PALM BEACH, FL 33414

    Phone: (561) 798-6600

    Fax: (561) 204-2042

    Type: Mailing

  • 440 N STATE ROAD 7 STE B

    ROYAL PALM BEACH, FL 334113504

    Phone: (561) 798-6600

    Fax: (561) 753-3328

    Type: Location

  • 875 Military Trl Ste 105

    Jupiter, FL 334585700

    Phone: (561) 798-6600

    Fax: (561) 753-3328

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $136.

Total Amount is formed as General ($136) + Research ($0) + Ownership ($0) = $136.

Last reported payment date: 2024-03-31 • Largest payer in this snapshot: Stryker Corporation ($99).

Total Amount

$136

General + Research + Ownership

Payments

3

Total payment records

General Amount

$136

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-31

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: 2021-08-02

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
I20210802001321INurse 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes7750$0
99213Established patient office or other outpatient visit, 20-29 minutes7048$0
20611Aspiration and/or injection of fluid large joint using ultrasound guidance5434$0
J1040Injection, methylprednisolone acetate, 80 mg5130$0
73030X-ray of shoulder, minimum of 2 views3427$0
View full utilization report →

Insurance plans in this area (ZIP 33411)

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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: 3678568227View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeFL
Hand Surgery, Orthopedic SurgeryFL
Vascular Surgery, Thoracic SurgeryFL
Orthopedic SurgeryFL
Physician AssistantFL
Sports Medicine, Orthopedic SurgeryFL
-FL
Physical Therapist In Private PracticeFL
Physician AssistantFL
Orthopedic SurgeryFL

Reviews

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Frequently asked questions

What number should I use to identify EVELYN DOMINGUEZ for billing?
Administrative and clinical systems typically use NPI 1568444966 for EVELYN DOMINGUEZ.
Is EVELYN DOMINGUEZ's NPI status active today?
Active status means EVELYN DOMINGUEZ's NPI record is not deactivated in the public file.
Which specialty label fits EVELYN DOMINGUEZ?
NPPES ties EVELYN DOMINGUEZ to Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to EVELYN DOMINGUEZ?
EVELYN DOMINGUEZ is associated with Royal Palm Beach, Florida in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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