AMY MARIE DOMANSKI (APN) – Family Nurse Practitioner, NPI 1710326442
Family Nurse Practitioner
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
7,515 NURSE PRACTITIONER in NJ
Provider Addresses for AMY MARIE DOMANSKI (APN)
450 CHARLESTOWN RD
HAMPTON, NJ 088272535
Phone: (908) 537-1042
Type: Location
418 DANIEL DR
STEWARTSVILLE, NJ 088863204
Phone: (908) 208-2168
Type: Mailing
1581 N 9th St Ste 101
Stroudsburg, PA 183607531
Phone: (272) 721-2062
Type: Location
755 MEMORIAL PKWY STE 302
PHILLIPSBURG, NJ 088652771
Phone: (908) 847-6722
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $175.
Total Amount is formed as General ($175) + Research ($0) + Ownership ($0) = $175.
Last reported payment date: 2024-11-14 • Largest payer in this snapshot: Lilly USA, LLC ($135).
Total Amount
$175
General + Research + Ownership
Payments
4
Total payment records
General Amount
$175
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $135 |
| Astellas Pharma US Inc | $40 |
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: 2023-06-08
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20220910000010 | I | Nurse Practitioner | NJ | TBD |
| I20230608002697 | I | Nurse Practitioner | PA | 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 | 67 | 40 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 40 | 40 | $0 |
Insurance plans in this area (ZIP 08827)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | UT | |
| - | PA | |
| - | PA | |
| Nurse Practitioner | PA | |
| - | PA | |
| N E U R O L O G Y | PA | |
| Internal Medicine | NJ | |
| Clinical Social Worker | NJ | |
| Nurse Practitioner | PA | |
| - | NJ |
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