STACY DOMINY (APRN, FNP-C) – Family Nurse Practitioner, NPI 1427649706

STACY DOMINY (APRN, FNP-C) is a healthcare provider. based in Beaumont, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN, FNP-C. They hold a License No. 1071476 (TX). The NPI Number for STACY DOMINY (APRN, FNP-C) is 1427649706

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
STACY DOMINY (APRN, FNP-C)
NPI
1427649706
Phone
(409) 892-4600
Address
3070 COLLEGE ST STE 300
Enumeration Date
29 January 2021
Last Update Date
8 March 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4098924600
Graduation Year
2021 (5 years ago)
PAC ID
4789910928
Group Practice PAC ID
0042500100
Professional Enrollment ID
I20220701001206
Address ID
TX777014667BE3070XSTXX307
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

22,209 NURSE PRACTITIONER in TX

Provider Addresses for STACY DOMINY (APRN, FNP-C)

  • 3070 COLLEGE ST STE 300

    BEAUMONT, TX 777014667

    Phone: (409) 892-4600

    Fax: (409) 892-4605

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $65.

Total Amount is formed as General ($65) + Research ($0) + Ownership ($0) = $65.

Last reported payment date: 2023-08-03 • Largest payer in this snapshot: Nevro Corp. ($42).

Total Amount

$65

General + Research + Ownership

Payments

2

Total payment records

General Amount

$65

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-08-03

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2022-07-01

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220701001206INurse 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 77701)

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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: 0042500100View full group profile
NameSpecialtyState
Nurse PractitionerTX
A N E S T H E S I O L O G YLA
Nurse PractitionerTX
Nurse PractitionerTX
Anesthesiology, Interventional Pain ManagementTX

Reviews

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Frequently asked questions

What is the 10-digit NPI for STACY DOMINY (APRN, FNP-C)?
STACY DOMINY (APRN, FNP-C) — NPI 1427649706 — is the standard way to identify this listing.
Does the file indicate STACY DOMINY (APRN, FNP-C) is practicing under active NPI?
Directory data currently reports STACY DOMINY (APRN, FNP-C) as active.
What healthcare role does STACY DOMINY (APRN, FNP-C) hold?
Scheduling teams often label STACY DOMINY (APRN, FNP-C) under Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What address line appears for STACY DOMINY (APRN, FNP-C)?
STACY DOMINY (APRN, FNP-C)'s geographic hint is Beaumont, Texas in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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