Kelly Dominski, APNP in West Allis, WI - Medicare Nurse Practitioner

Kelly Dominski, APNP is a medicare enrolled "Nurse Practitioner" in West Allis, Wisconsin. She graduated from nursing school in 2012 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Aurora Medical Group, Inc. and her current practice location is 8901 W Lincoln Ave, West Allis, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (414) 328-6000.

Kelly Dominski is licensed to practice in Wisconsin (license number 5166) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1083984868.

Contact Information

	Kelly Dominski, APNP
	8901 W Lincoln Ave, West Allis, WI 53227-2409
	(414) 328-6000
	Not Available

Map and Direction

Provider's Profile

Full Name	Kelly Dominski
Gender	Female
Speciality	Nurse Practitioner
Experience	12 Years
Location	8901 W Lincoln Ave, West Allis, Wisconsin
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kelly Dominski graduated from nursing school in 2012

NPI Data:

NPI Number: 1083984868
Provider Enumeration Date: 01/10/2012
Last Update Date: 12/01/2021

Medicare PECOS Information:

PECOS PAC ID: 9133366149
Enrollment ID: I20130511000042

Medical Identifiers

Medical identifiers for Kelly Dominski such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083984868	NPI	-	NPPES
1083984868	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	170180-30 (Wisconsin)	Secondary
363L00000X	Nurse Practitioner	5166 (Wisconsin)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
West Allis Memorial Hospital	West allis, WI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Aurora Medical Group, Inc.	6709794258	3207

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kelly Dominski allows following entities to bill medicare on her behalf.

Entity Name	Aurora Medical Group, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelly Dominski is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Kelly Dominski, APNP 8901 W Lincoln Ave, West Allis, WI 53227-2409 Ph: (414) 328-6000	Kelly Dominski, APNP 8901 W Lincoln Ave, West Allis, WI 53227-2409 Ph: (414) 328-6000

Reviews and Comments

Nurse Practitioner Nurses in West Allis, WI

Paul Facchiano, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6609 W Greenfield Ave, West Allis, WI 53214 Phone: 414-257-8500
Michelle Cyr, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2514 S 102nd St Ste 160, West Allis, WI 53227 Phone: 414-255-0300
Autumn D Unrein, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2424 S 90th St Fl 2, West Allis, WI 53227 Phone: 414-328-8777 Fax: 414-328-8110
Stephanie Schell, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2424 S 90th St Fl 3, West Allis, WI 53227 Phone: 414-328-8270 Fax: 414-328-8275
Katelyn Nieman, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2514 S 102nd St Ste 160, West Allis, WI 53227 Phone: 414-255-0340 Fax: 855-342-0199
Mr. Joseph Kozlosky, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10827 W Lincoln Ave, West Allis, WI 53227 Phone: 414-541-6010 Fax: 414-541-5509
John Thomas Olstad, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1706 S 68th St, West Allis, WI 53214 Phone: 414-667-4800

Kelly Dominski, APNP - Medicare Nurse Practitioner in West Allis, WI