MR. DAVID ANTHONY DOMINGUEZ (APRN) – Psychiatric/Mental Health Nurse Practitioner, NPI 1689772469

MR. DAVID ANTHONY DOMINGUEZ (APRN) is a healthcare provider. based in Junction city, Kansas. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 112063 (NC). The NPI Number for MR. DAVID ANTHONY DOMINGUEZ (APRN) is 1689772469

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
MR. DAVID ANTHONY DOMINGUEZ (APRN)
NPI
1689772469
Phone
(785) 762-5250
Address
814 CAROLINE AVE
Enumeration Date
20 September 2006
Last Update Date
6 April 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2001 (25 years ago)
PAC ID
4880868702
Professional Enrollment ID
I20121228000382
Address ID
KS665026355MA720XXAVEX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

3,550 NURSE PRACTITIONER in KS

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Provider Addresses for MR. DAVID ANTHONY DOMINGUEZ (APRN)

  • 814, Caroline Avenue, Junction City, Geary County, Kansas, 66441, United States

    JUNCTION CITY, KS 664415210

    Phone: (785) 762-5250

    Fax: (785) 762-2144

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 45 Open Payments records for all available years, with a total value of $808.

Total Amount is formed as General ($808) + Research ($0) + Ownership ($0) = $808.

Last reported payment date: 2023-12-20 • Largest payer in this snapshot: Axsome Therapeutics, Inc. ($184).

Total Amount

$808

General + Research + Ownership

Payments

45

Total payment records

General Amount

$808

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-12-20

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: 2012-12-28

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
I20121228000382INurse PractitionerKSTBD

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 66441)

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Reviews

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Frequently asked questions

What federal number belongs to MR. DAVID ANTHONY DOMINGUEZ (APRN)?
The federal identifier for MR. DAVID ANTHONY DOMINGUEZ (APRN) is NPI 1689772469.
Is MR. DAVID ANTHONY DOMINGUEZ (APRN) currently active in the NPI registry?
CMS-published data lists MR. DAVID ANTHONY DOMINGUEZ (APRN) as an active registrant.
Can you summarize MR. DAVID ANTHONY DOMINGUEZ (APRN)'s specialty in plain language?
Clinically, the directory lists MR. DAVID ANTHONY DOMINGUEZ (APRN) with Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does MR. DAVID ANTHONY DOMINGUEZ (APRN) practice in Kansas?
You will see Junction City, Kansas on file for MR. DAVID ANTHONY DOMINGUEZ (APRN) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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