ALEJANDRA LIZETTE DOMINGUEZ (PMHNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1174357040

ALEJANDRA LIZETTE DOMINGUEZ (PMHNP) is a healthcare provider. based in Pharr, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP. They hold a License No. 1168891 (TX). The NPI Number for ALEJANDRA LIZETTE DOMINGUEZ (PMHNP) is 1174357040

Main info

Female
Sole Proprietor
15 Years Of Experience
Accepts Medicare Assignment
Name
ALEJANDRA LIZETTE DOMINGUEZ (PMHNP)
NPI
1174357040
Phone
(956) 221-2114
Address
5001 N YVETTE DR APT 1
Enumeration Date
31 August 2024
Last Update Date
28 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8328694818235
Graduation Year
2011 (15 years ago)
PAC ID
7618409111
Group Practice PAC ID
0345573598
Professional Enrollment ID
I20241021004464
Address ID
TX770705934HO7877XBLVD400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness85
Years active:1State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for ALEJANDRA LIZETTE DOMINGUEZ (PMHNP)

  • 5001 N YVETTE DR APT 1

    PHARR, TX 785772545

    Phone: (956) 221-2114

    Type: Mailing

  • 5001 N Yvette Dr Apt 1

    Pharr, TX 785772545

    Phone: (956) 221-2114

    Type: Location

  • 7877 WILLOW CHASE BLVD

    HOUSTON, TX 770705934

    Phone: (832) 869-4818

    Fax: (832) 241-2902

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2024-10-21

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
I20241021004464INurse PractitionerTXTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 78577)

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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: 0345573598View full group profile
NameSpecialtyState
Physician AssistantIL
Nurse PractitionerIN
P S Y C H I A T R YTX
Nurse PractitionerIN
Physician AssistantSC
Nurse PractitionerIN
Nurse PractitionerMO
Physician AssistantSC
Physician AssistantTX
Nurse PractitionerFL

Reviews

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Frequently asked questions

How do payers reference ALEJANDRA LIZETTE DOMINGUEZ (PMHNP)?
For ALEJANDRA LIZETTE DOMINGUEZ (PMHNP), use NPI 1174357040 as the unique 10-digit identifier.
Is ALEJANDRA LIZETTE DOMINGUEZ (PMHNP) still an active registrant?
ALEJANDRA LIZETTE DOMINGUEZ (PMHNP) carries an active NPI according to the public dataset.
How would a patient describe ALEJANDRA LIZETTE DOMINGUEZ (PMHNP)'s focus?
For ALEJANDRA LIZETTE DOMINGUEZ (PMHNP), the primary taxonomy reads as Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is ALEJANDRA LIZETTE DOMINGUEZ (PMHNP) located near Pharr?
ALEJANDRA LIZETTE DOMINGUEZ (PMHNP) currently maps to Pharr, Texas in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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