MRS. DOMINIQUE PINILLA (FNP-C) – Family Nurse Practitioner, NPI 1124103965

MRS. DOMINIQUE PINILLA (FNP-C) is a healthcare provider. based in Grovetown, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. 4704375947 (MI). The NPI Number for MRS. DOMINIQUE PINILLA (FNP-C) is 1124103965

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
MRS. DOMINIQUE PINILLA (FNP-C)
NPI
1124103965
Phone
(706) 424-1401
Address
9517 BERWICK CT
Enumeration Date
26 October 2006
Last Update Date
24 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7372266700
Graduation Year
2005 (21 years ago)
PAC ID
4880604446
Group Practice PAC ID
9133304603
Professional Enrollment ID
I20181030001090
Address ID
GA309044954AU2541XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience93
Completeness75
Years active:19State licenses:14Digital endpointsOther names

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

Loading prescription activity...

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

CompanyAmount
ViiV Healthcare Company$26
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: 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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20060426000559INurse PractitionerSCTBD
I20180705001546INurse PractitionerAZTBD
I20181030001090INurse PractitionerGATBD
I20190206000468INurse PractitionerFLTBD
I20201021002889INurse PractitionerPATBD
I20210112000782INurse PractitionerNCTBD
I20210115001432INurse PractitionerWATBD
I20210608003188INurse PractitionerOHTBD
I20210720004166INurse PractitionerTXTBD
I20210923001053INurse PractitionerMITBD
I20220330001793INurse PractitionerVATBD
I20221220000320INurse PractitionerNYTBD
I20230714000314INurse PractitionerKYTBD
I20230821000371INurse PractitionerTNTBD
I20231106000829INurse PractitionerIATBD
I20231116000543INurse PractitionerALTBD
I20240403001215INurse PractitionerWVTBD
I20240411001886INurse PractitionerCTTBD

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
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes373165$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes5042$0
99310Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes1919$0
View full utilization report →

Insurance plans in this area (ZIP 30813)

Loading plans...

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: 9133304603View full group profile

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

How do I look up MRS. DOMINIQUE PINILLA (FNP-C) by NPI?
Use NPI 1124103965 when you need to reference MRS. DOMINIQUE PINILLA (FNP-C) in forms, claims, or directories.
Is MRS. DOMINIQUE PINILLA (FNP-C) active in the national directory?
MRS. DOMINIQUE PINILLA (FNP-C)'s public NPI profile is in an active state.
What kind of provider is MRS. DOMINIQUE PINILLA (FNP-C)?
The page reflects Family Nurse Practitioner for MRS. DOMINIQUE PINILLA (FNP-C). Clinical services aligned with this taxonomy classification.
What location metadata exists for MRS. DOMINIQUE PINILLA (FNP-C)?
The page summarizes Grovetown, Georgia for MRS. DOMINIQUE PINILLA (FNP-C); expand the address list for detail.
Is MRS. DOMINIQUE PINILLA (FNP-C) a real provider?
This page reflects official NPPES data for NPI 1124103965. Always confirm identity and privileges with the practice and licensing boards.

Similar Providers

DOROTHY SMITH DUNN (NP)

Family Nurse Practitioner
Abbey Road, Grovetown, Columbia County, Georgia, 30813, United States
NPI: 1952412736
Fort Gordon, Augusta, Richmond County, Georgia, 30905, United States
NPI: 1326185125

PATRICIA ANN CORCORAN (FNP-C)

Family Nurse Practitioner
107 Walnut Ln Ste 102
NPI: 1134324999

MS. REBECCA MEEK (FNP)

Family Nurse Practitioner
2732 Candler Rd
NPI: 1710160791

MILLICENT PORTER JENKINS (FNP-C)

Family Nurse Practitioner
1021 Silver Bluff Rd
NPI: 1770723579
9016 Battle Ct
NPI: 1417264292

BENAISSA KADDOUR DJEBBAR

Family Nurse Practitioner
3405 MIKE PADGETT HWY
NPI: 1114200029

MS. SANDRA MICHELLE REID (FNP-BC)

Family Nurse Practitioner
1 FREEDOM WAY
NPI: 1134492473