IndividualActive
Mary Domine
NPI 1013626597 · Specialist · Waite Park, MN
Mary Domine is a Specialist provider in Waite Park, MN (NPI 1013626597).
Provider details
- NPI number
- 1013626597
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
423 Great Oak Dr
Waite Park, MN 56387-2507
Phone: (218) 287-4338
Street-level locationGet directions
Mailing address
1547 30th Ave S
Moorhead, MN 56560-5149
Registry dates
- Enumerated
- 2022-11-23
- Last updated
- 2022-11-23
- Certified
- 2022-11-23
Frequently asked questions
- What is Mary Domine's NPI number?
- Mary Domine's National Provider Identifier (NPI) is 1013626597, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mary Domine's specialty?
- Mary Domine is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).
- Where is Mary Domine located?
- Mary Domine's practice location on file with NPPES is 423 Great Oak Dr, Waite Park, MN 56387-2507.
- What is Mary Domine's phone number?
- The practice phone number listed in the NPPES registry for Mary Domine is (218) 287-4338.
- Is Mary Domine's NPI active?
- Yes — Mary Domine's NPI (1013626597) is active in the NPPES registry as of the last update on 2022-11-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.