MRS. DOMINIQUE PINILLA (FNP-C) – Family Nurse Practitioner, NPI 1124103965
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,299 NURSE PRACTITIONER in SC
Provider Addresses for MRS. DOMINIQUE PINILLA (FNP-C)
9517 BERWICK CT
GROVETOWN, GA 308138128
Phone: (706) 424-1401
Type: Mailing
335 Pleasant Point Dr
Beaufort, SC 299071164
Phone: (803) 699-9073
Fax: (803) 764-2361
Type: Location
408 JOY SPRINGS CT
GROVETOWN, GA 308130288
Phone: (423) 943-0856
Type: Mailing
3720 DAVINCI CT STE 400
NORCROSS, GA 300927625
Phone: (706) 582-4462
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $26.
Total Amount is formed as General ($26) + Research ($0) + Ownership ($0) = $26.
Last reported payment date: 2024-11-06 • Largest payer in this snapshot: ViiV Healthcare Company ($26).
Total Amount
$26
General + Research + Ownership
Payments
1
Total payment records
General Amount
$26
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ViiV Healthcare Company | $26 |
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: 2024-04-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 18 Medicare enrollment records; no due dates published yet.
Enrollment records
18
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 |
|---|---|---|---|---|
| I20060426000559 | I | Nurse Practitioner | SC | TBD |
| I20180705001546 | I | Nurse Practitioner | AZ | TBD |
| I20181030001090 | I | Nurse Practitioner | GA | TBD |
| I20190206000468 | I | Nurse Practitioner | FL | TBD |
| I20201021002889 | I | Nurse Practitioner | PA | TBD |
| I20210112000782 | I | Nurse Practitioner | NC | TBD |
| I20210115001432 | I | Nurse Practitioner | WA | TBD |
| I20210608003188 | I | Nurse Practitioner | OH | TBD |
| I20210720004166 | I | Nurse Practitioner | TX | TBD |
| I20210923001053 | I | Nurse Practitioner | MI | TBD |
| I20220330001793 | I | Nurse Practitioner | VA | TBD |
| I20221220000320 | I | Nurse Practitioner | NY | TBD |
| I20230714000314 | I | Nurse Practitioner | KY | TBD |
| I20230821000371 | I | Nurse Practitioner | TN | TBD |
| I20231106000829 | I | Nurse Practitioner | IA | TBD |
| I20231116000543 | I | Nurse Practitioner | AL | TBD |
| I20240403001215 | I | Nurse Practitioner | WV | TBD |
| I20240411001886 | I | Nurse Practitioner | CT | 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 |
|---|---|---|---|---|
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 373 | 165 | $0 |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 50 | 42 | $0 |
| 99310 | Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | 19 | 19 | $0 |
Insurance plans in this area (ZIP 30813)
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Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| - | TX | |
| - | TX | |
| - | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | GA | |
| - | LA | |
| Nurse Practitioner | TX | |
| - | VA | |
| - | TX | |
| Nurse Practitioner | TX |
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