MS. MARY ALICE SIEGGREEN DOMBROWSKI (CFNP) – Family Nurse Practitioner, NPI 1346203643
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
14,984 NURSE PRACTITIONER in OH
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Provider Addresses for MS. MARY ALICE SIEGGREEN DOMBROWSKI (CFNP)
Euclid Avenue, Brooklyn, Kings County, New York, 11208, United States
3RD FLOOR
EUCLID, OH 441171714
Phone:
Type: Mailing
University Hospitals Cleveland Medical Center, 11100, Euclid Avenue, University Circle, Cleveland, Cuyahoga County, Ohio, 44106, United States
CLEVELAND, OH 441061716
Phone: (216) 844-7700
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 32 Open Payments records for all available years, with a total value of $1,425.
Total Amount is formed as General ($1,425) + Research ($0) + Ownership ($0) = $1,425.
Last reported payment date: 2024-11-21 • Largest payer in this snapshot: QOL Medical, LLC ($984).
Total Amount
$1,425
General + Research + Ownership
Payments
32
Total payment records
General Amount
$1,425
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| QOL Medical, LLC | $984 |
| ABBVIE INC. | $227 |
| IRONWOOD PHARMACEUTICALS, INC | $95 |
| Regeneron Healthcare Solutions, Inc. | $83 |
| ConvaTec Inc. | $22 |
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: 2010-09-01
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 |
|---|---|---|---|---|
| I20100901001015 | I | Nurse Practitioner | OH | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 44117)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OH | |
| Certified Registered Nurse Anesthetist (Crna) | OH | |
| - | MI | |
| Hospitalist, Internal Medicine | OH | |
| - | TX | |
| Radiation Oncology | OH | |
| - | OH | |
| Certified Registered Nurse Anesthetist (Crna) | OH | |
| Certified Registered Nurse Anesthetist (Crna) | OH | |
| Diagnostic Radiology | FL |
Reviews
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