STEPHANIE JEAN DOMINGUEZ PA-C
NPI 1750683371
Physician Assistant - Medical in Milwaukee, WI

NPI Status: Active since December 02, 2010

Contact Information

2906 S 20TH ST
MILWAUKEE, WI
ZIP 53215
Phone: (414) 672-1353
Fax: (414) 672-4265

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  • Individual
  • Female
  • Years of Experience 16
  • Physician Assistant
  • Medical
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About STEPHANIE DOMINGUEZ

This page provides the complete NPI Profile along with additional information for Stephanie Dominguez, a primary care provider established in Milwaukee, Wisconsin with a medical specialization in Physician Assistant, focusing in medical and more than 16 years of experience. The healthcare provider is registered in the NPI registry with number 1750683371 assigned on December 2010. The practitioner's primary taxonomy code is 363AM0700X with license number 2696-23 (WI). The provider is registered as an individual and her NPI record was last updated 15 years ago.

NPI
1750683371
Provider Name
STEPHANIE JEAN DOMINGUEZ PA-C
Other Name
STEPHANIE JEAN REINFELDT
Other Name Type
Former Name (1)
Gender
Female
Entity Type
Individual
Location Address
2906 S 20TH ST MILWAUKEE, WI 53215
Location Phone
(414) 672-1353
Location Fax
(414) 672-4265
Mailing Address
2906 S 20TH ST MILWAUKEE, WI 53215
Mailing Phone
(414) 672-1353
Mailing Fax
(414) 672-4265
Medical School Name
OTHER
Graduation Year
2010
Is Sole Proprietor?
No
Enumeration Date
12-02-2010
Last Update Date
12-02-2010
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A primary care provider (PCP) like Stephanie Dominguez sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant Medical

Taxonomy Code
363AM0700X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
2696-23
License State
WI

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Dean Bronze $0 Copay PCP Visits - HMO
  • Dean Bronze Share - HMO
  • Dean Catastrophic - HMO
  • Dean Expanded Bronze Standard - HMO
  • Dean Gold HSA - HMO
  • Dean Gold Share - HMO
  • Dean Gold Standard - HMO
  • Dean Silver $0 Copay PCP Visits - HMO
  • Dean Silver Share - HMO
  • Dean Silver Standard - HMO
  • Gold 1 - HMO
  • Gold 1 with Adult Vision Services - HMO
  • Gold 8 - HMO
  • Silver 1 - HMO
  • Silver 1 with Adult Vision Services - HMO
  • Silver 12 with First 4 Primary Care Visits Free - HMO
  • Silver 8 - HMO
  • Prestige Bronze Essential + 3 Free PCP Visits - HMO
  • Prestige Bronze Essential + Dental + Vision + 3 Free PCP Visits - HMO
  • Prestige Bronze Plus - HMO
  • Prestige Gold - HMO
  • Prestige Gold 50 + 1 Free PCP Visit - HMO
  • Prestige Gold 50 + Dental + Vision + 1 Free PCP Visit - HMO
  • Prestige Gold Essential + 3Free PCP Visits - HMO
  • Prestige Gold Essential + Dental + Vision + 3 Free PCP Visits - HMO
  • Prestige Silver - HMO
  • Prestige Silver Essential + 3 Free PCP Visits - HMO
  • Prestige Silver Essential + Dental + Vision + 3 Free PCP Visits - HMO
  • Signature Prestige Bronze $0 Deductible - HMO
  • Signature Prestige Bronze $0 Deductible + Dental + Vision - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Stephanie Dominguez is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Stephanie Dominguez is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 1658551809

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20110207000034

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Reviews for STEPHANIE JEAN DOMINGUEZ PA-C

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1750683371
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
271001286314
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 0 + 0 + 1 + 2 + 8 + 6 + 3 + 1 + 4 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1750683371 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1083664452 JILL A STEPHENS MD
Individual
Radiology (Diagnostic Radiology)2906 S 20TH ST
MILWAUKEE, WI 53215
(414) 385-8800
1285659912AURORA PHARMACY INC
Organization
Pharmacy2906 S 20TH ST
MILWAUKEE, WI 53215
(414) 385-7850
1346330628DR. MARCOS MARTIN DE LA CRUZ M.D.
Individual
Pediatrics2906 S 20TH ST
MILWAUKEE, WI 53215
(414) 672-1353
1649341207 ANDREA P JANIS-TOWEY PHD
Individual
Psychologist (Clinical)2906 S 20TH ST
MILWAUKEE, WI 53215
(414) 672-1353
1205974110 PEGGY KAY MOORE OT
Individual
Occupational Therapist2906 S 20TH ST LOWER LEVEL
MILWAUKEE, WI 53215
(414) 385-6265
1376814087 ANGELA ROSE FERNANDEZ MSW, APSW
Individual
Social Worker2906 S 20TH ST
MILWAUKEE, WI 53215
(414) 385-6222
1528304797SIXTEENTH STREET COMMUNITY HEALTH CENTER, INC
Organization
Clinic/Center (Federally Qualified Health Center (FQHC))2906 S 20TH ST
MILWAUKEE, WI 53215
(414) 672-1353
1992045330 CATRINA MARIE PINKHAM OTR
Individual
Occupational Therapist2906 S 20TH ST
MILWAUKEE, WI 53215
(414) 385-6232
1326482308 JAMES A EITING
Individual
Pharmacist2906 S 20TH ST
MILWAUKEE, WI 53215
(414) 385-7850
1699191148DR. WILLIAM GUNDRUM PHARM.D.
Individual
Pharmacist2906 S 20TH ST
MILWAUKEE, WI 53215
(414) 385-7850
1295909497DR. NANCY THI NGUYEN M.D.
Individual
Family Medicine2906 S 20TH ST
MILWAUKEE, WI 53215
(414) 672-1353
1316238272DR. MICHELLE LYNN BUELOW M.D.
Individual
Family Medicine2906 S 20TH ST
MILWAUKEE, WI 53215
(414) 672-1353
1417332958 CYNTHIA E FRANZOLIN LPC-IT
Individual
Counselor (Professional)2906 S 20TH ST
MILWAUKEE, WI 53215
(414) 672-1353
1538408661 JUANA MARIA DORGER LCSW
Individual
Social Worker (Clinical)2906 S 20TH ST
MILWAUKEE, WI 53215
(414) 672-1353
1649399536 KAREN STERN CNM
Individual
Advanced Practice Midwife2906 S 20TH ST
MILWAUKEE, WI 53215
(414) 672-1353
1568406346MRS. MARNI KOPENSKI HEBERT F.N.P.
Individual
Nurse Practitioner (Family)2906 S 20TH ST
MILWAUKEE, WI 53215
(414) 672-1353
1023191921 JANE MARIE COLLIS-GEERS M.D.
Individual
Ophthalmology2906 S 20TH ST
MILWAUKEE, WI 53215
(414) 672-1353
1649616335DR. JOHN JOSEPH TRIMBERGER M.D.
Individual
Family Medicine (Geriatric Medicine)2906 S 20TH ST
MILWAUKEE, WI 53215
(414) 672-1353
1225549066 PATRICIA DEQUARDO RDH
Individual
Dental Hygienist2906 S 20TH ST
MILWAUKEE, WI 53215
(414) 897-5434
1982194700 DIANE COLETTE KOTHERA RDH
Individual
Dental Hygienist2906 S 20TH ST
MILWAUKEE, WI 53215
(414) 897-5193

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750683371, enumerated in the NPI registry as an "individual" on December 02, 2010

The provider is located at 2906 S 20th St Milwaukee, Wi 53215 and the phone number is (414) 672-1353

The provider's speciality is Physician Assistant with taxonomy code 363AM0700X with a focus in Medical

The provider has more than 16 years of experience.

The provider might be accepting Accepts: Dean Health Plan, Molina Healthcare and Network. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

This NPI record was last updated on December 02, 2010. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.