JACQUELINE D DOMINICK (CRNP) – Acute Care Nurse Practitioner, NPI 1366424921
Acute Care Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,767 NURSE PRACTITIONER in MD
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Provider Addresses for JACQUELINE D DOMINICK (CRNP)
300, Hospital Drive, Dundee, Anne Arundel County, Maryland, 21061, United States
SUITE 215
GLEN BURNIE, MD 210616902
Phone: (410) 787-4000
Fax: (410) 787-4846
Type: Mailing
Baltimore Washington Medical Center, 301, Hospital Drive, Dundee, Anne Arundel County, Maryland, 21061, United States
GLEN BURNIE, MD 210615803
Phone: (410) 787-4000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $41.
Total Amount is formed as General ($41) + Research ($0) + Ownership ($0) = $41.
Last reported payment date: 2024-11-08 • Largest payer in this snapshot: Lantheus Medical Imaging, Inc. ($26).
Total Amount
$41
General + Research + Ownership
Payments
2
Total payment records
General Amount
$41
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-08
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lantheus Medical Imaging, Inc. | $26 |
| Novartis Pharmaceuticals Corporation | $14 |
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: 2005-11-23
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 |
|---|---|---|---|---|
| I20051123000560 | I | Nurse Practitioner | MD | 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 |
|---|---|---|---|---|
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 234 | 227 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 66 | 43 | $0 |
Insurance plans in this area (ZIP 21061)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | MD | |
| Cardiovascular Disease (Cardiology) | MD | |
| Hospitalist, Internal Medicine | MD | |
| Nurse Practitioner | NY | |
| Cardiovascular Disease (Cardiology) | PA | |
| Nurse Practitioner | MD | |
| Cardiovascular Disease (Cardiology), Internal Medicine | MD | |
| Nurse Practitioner | MD | |
| Cardiovascular Disease (Cardiology) | MD | |
| Cardiovascular Disease (Cardiology) | PA |
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