MRS. CINDY PRISCILLA DOMINGUEZ (ACNPC-AG) – Nurse Practitioner, NPI 1164088514
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,551 NURSE PRACTITIONER in KS
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Provider Addresses for MRS. CINDY PRISCILLA DOMINGUEZ (ACNPC-AG)
136, Mary Etta Street, Derby, Sedgwick County, Kansas, 67037, United States
DERBY, KS 670372224
Phone: (316) 519-6407
Type: Mailing
St. Francis Health Center, 1700, Southwest 7th Street, Melrose, Topeka, Shawnee County, Kansas, 66606, United States
TOPEKA, KS 666062489
Phone: (785) 295-8155
Fax: (785) 295-5543
Type: Location
634 SW MULVANE
TOPEKA, KS 666062224
Phone: (785) 272-2240
Fax: (785) 272-2250
Type: Mailing
634 SW MULVANE ST STE 200
TOPEKA, KS 666061678
Phone: (785) 272-2240
Fax: (785) 272-2250
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 82 Open Payments records for all available years, with a total value of $1,746.
Total Amount is formed as General ($1,746) + Research ($0) + Ownership ($0) = $1,746.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Lilly USA, LLC ($294).
Total Amount
$1,746
General + Research + Ownership
Payments
82
Total payment records
General Amount
$1,746
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $294 |
| Ascensia Diabetes Care Us Inc. | $217 |
| Radius Health, Inc. | $213 |
| Insulet Corporation | $156 |
| CeQur Corporation | $126 |
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: 2019-09-05
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190905000804 | I | Nurse Practitioner | KS | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 50 | 36 | $0 |
| 95251 | Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report | 20 | 14 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 12 | 12 | $0 |
Insurance plans in this area (ZIP 67037)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O B S T E T R I C S/ G Y N E C O L O G Y | MI | |
| - | KS | |
| - | KS | |
| - | MO | |
| Nurse Practitioner | KS | |
| - | KS | |
| Nurse Practitioner | KS | |
| - | KS | |
| - | IL | |
| - | OH |
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