HEATHER BROOKE DOMEL – Family Nurse Practitioner, NPI 1295405371

HEATHER BROOKE DOMEL is a healthcare provider. based in Gonzales, Texas. specializing in NURSE PRACTITIONER. They hold a License No. 1052400 (TX). The NPI Number for HEATHER BROOKE DOMEL is 1295405371

Main info

Female
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
HEATHER BROOKE DOMEL
NPI
1295405371
Phone
(361) 239-5015
Address
PO BOX 587
Enumeration Date
20 September 2021
Last Update Date
26 March 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3612395015
Graduation Year
2021 (5 years ago)
PAC ID
4284032053
Group Practice PAC ID
8527963776
Professional Enrollment ID
I20211213001937
Address ID
TX779845873SH207XXSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:4State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for HEATHER BROOKE DOMEL

  • PO BOX 587

    GONZALES, TX 786290587

    Phone: (361) 239-5015

    Fax: (361) 239-5014

    Type: Mailing

  • 207 W 7TH ST

    SHINER, TX 779845873

    Phone: (361) 239-5015

    Fax: (361) 239-5014

    Type: Location

  • 1110 N Sarah DeWitt Dr

    Gonzales, TX 786293311

    Phone: (830) 672-8502

    Fax: (830) 672-3035

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $19.

Total Amount is formed as General ($19) + Research ($0) + Ownership ($0) = $19.

Last reported payment date: 2024-05-23 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($19).

Total Amount

$19

General + Research + Ownership

Payments

1

Total payment records

General Amount

$19

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-23

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
GlaxoSmithKline, LLC.$19
View all Open Payments →|Open Payments Risk Radar →

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: 2021-12-13

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
I20211213001937INurse 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 78629)

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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: 8527963776View full group profile

Reviews

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Frequently asked questions

What unique ID ties claims to HEATHER BROOKE DOMEL?
NPI 1295405371 is assigned to HEATHER BROOKE DOMEL under the national enumeration system.
Is HEATHER BROOKE DOMEL currently active in the NPI registry?
CMS-published data lists HEATHER BROOKE DOMEL as an active registrant.
What field does HEATHER BROOKE DOMEL work in?
You can think of HEATHER BROOKE DOMEL as practicing within Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location shows for HEATHER BROOKE DOMEL?
We surface Gonzales, Texas for HEATHER BROOKE DOMEL based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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