KATHY L DOMIANO (FNP) – Primary Care Nurse Practitioner, NPI 1265627970
Primary Care Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,017 NURSE PRACTITIONER in MO
Provider Addresses for KATHY L DOMIANO (FNP)
504 NW 10TH AVE
AVA, MO 65608
Phone: (417) 683-4831
Fax: (417) 683-1602
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 33 Open Payments records for all available years, with a total value of $707.
Total Amount is formed as General ($707) + Research ($0) + Ownership ($0) = $707.
Last reported payment date: 2024-12-08 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($389).
Total Amount
$707
General + Research + Ownership
Payments
33
Total payment records
General Amount
$707
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-08
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $389 |
| ABBVIE INC. | $79 |
| Merck Sharp & Dohme LLC | $67 |
| Otsuka America Pharmaceutical, Inc. | $51 |
| Lundbeck LLC | $32 |
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: 2007-12-10
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 |
|---|---|---|---|---|
| I20071210000533 | I | Nurse Practitioner | MO | 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 |
|---|---|---|---|---|
| 82465 | Cholesterol level | 24 | 23 | $0 |
| 83036 | Hemoglobin a1c level | 13 | 12 | $0 |
Insurance plans in this area (ZIP 65608)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NURSE PRACTITIONER | MO | 85610 | Blood test, clotting time | 38 | 13 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Psychologist | MO | |
| Clinical Social Worker | MO | |
| Nurse Practitioner | MO | |
| Family Practice | MO | |
| Mental Health Counselor | MO | |
| Clinical Social Worker | MO | |
| - | MO | |
| Nurse Practitioner | MO | |
| Nurse Practitioner | MO | |
| Family Practice | MO |
Reviews
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