SUSAN C DEDOMINICIS (MSN, NP-C) – Family Nurse Practitioner, NPI 1891154712

SUSAN C DEDOMINICIS (MSN, NP-C) is a healthcare provider. based in Swampscott, Massachusetts. specializing in NURSE PRACTITIONER. They hold the professional credentials MSN, NP-C. They hold a License No. RN2290806 (MA). The NPI Number for SUSAN C DEDOMINICIS (MSN, NP-C) is 1891154712

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
SUSAN C DEDOMINICIS (MSN, NP-C)
NPI
1891154712
Phone
(781) 595-0151
Address
990 PARADISE ROAD
Enumeration Date
19 February 2016
Last Update Date
16 December 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2016 (10 years ago)
PAC ID
3779861935
Group Practice PAC ID
0244292688
Professional Enrollment ID
I20161024001423
Address ID
MA019071395SW990XXRDXX303

Contacts

Secure Messaging
DeDominicis.Susan.HSGMD@direct.partners.masshiway.net
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness85
Years active:10State licenses:1Other namesUpdated within 12 months

8,971 NURSE PRACTITIONER in MA

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Provider Addresses for SUSAN C DEDOMINICIS (MSN, NP-C)

  • 990, Paradise Road, Swampscott, Essex County, Massachusetts, 01907, United States

    SWAMPSCOTT, MA 01907

    Phone: (781) 595-0151

    Fax: (781) 592-6780

    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 41 Open Payments records for all available years, with a total value of $927.

Total Amount is formed as General ($927) + Research ($0) + Ownership ($0) = $927.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Janssen Biotech, Inc. ($286).

Total Amount

$927

General + Research + Ownership

Payments

41

Total payment records

General Amount

$927

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

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: 2016-10-24

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
I20161024001423INurse PractitionerMATBD

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
17003Destruction of precancer skin growth, 2-14 growths31681$0
99213Established patient office or other outpatient visit, 20-29 minutes284206$0
17000Destruction of precancer skin growth, 1 growth180126$0
99214Established patient office or other outpatient visit, 30-39 minutes140117$0
17110Destruction of skin growth, 1-14 growths9571$0
View full utilization report →

Insurance plans in this area (ZIP 01907)

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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: 0244292688View full group profile
NameSpecialtyState
Physician AssistantMA
D E R M A T O L O G YMA
P A T H O L O G YMA
D E R M A T O L O G YMA
D E R M A T O L O G YMA
Physician AssistantMA
Plastic And Reconstructive SurgeryMA
Physician AssistantMA

Reviews

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Frequently asked questions

Can I use this page to confirm SUSAN C DEDOMINICIS (MSN, NP-C)'s NPI?
Yes. SUSAN C DEDOMINICIS (MSN, NP-C) is listed with NPI 1891154712 in the public NPI dataset.
Is SUSAN C DEDOMINICIS (MSN, NP-C) listed as active for patients and plans?
The listing shows SUSAN C DEDOMINICIS (MSN, NP-C) as active in the NPI system.
What healthcare role does SUSAN C DEDOMINICIS (MSN, NP-C) hold?
Scheduling teams often label SUSAN C DEDOMINICIS (MSN, NP-C) under Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is SUSAN C DEDOMINICIS (MSN, NP-C) based?
SUSAN C DEDOMINICIS (MSN, NP-C) is tied to Swampscott, Massachusetts in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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