JACOB DOMORACKI (CRNP) – Acute Care Nurse Practitioner, NPI 1245919448
Acute Care Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
11,469 NURSE PRACTITIONER in PA
Provider Addresses for JACOB DOMORACKI (CRNP)
2315 Myrtle St Ste 190
Erie, PA 165024604
Phone: (814) 453-7767
Type: Location
870 BROAD ST
CONNEAUT, OH 440301710
Phone: (216) 882-7044
Type: Mailing
232 W 25TH ST
ERIE, PA 165440001
Phone: (814) 452-5000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 51 Open Payments records for all available years, with a total value of $2,473.
Total Amount is formed as General ($2,473) + Research ($0) + Ownership ($0) = $2,473.
Last reported payment date: 2024-12-06 • Largest payer in this snapshot: Inari Medical, Inc. ($584).
Total Amount
$2,473
General + Research + Ownership
Payments
51
Total payment records
General Amount
$2,473
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Inari Medical, Inc. | $584 |
| Boston Scientific Corporation | $399 |
| E.R. Squibb & Sons, L.L.C. | $266 |
| Merck Sharp & Dohme LLC | $220 |
| Abbott Laboratories | $198 |
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: 2023-11-30
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 |
|---|---|---|---|---|
| I20231130000174 | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 16502)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Cardiac Electrophysiology | PA | |
| Interventional Cardiology | FL | |
| Nurse Practitioner | PA | |
| Nurse Practitioner | PA | |
| Cardiovascular Disease (Cardiology) | PA | |
| Physician Assistant | PA | |
| Cardiovascular Disease (Cardiology) | PA | |
| - | PA | |
| Nurse Practitioner | PA | |
| Physician Assistant | PA |
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