Theresa Domagola, ACNP-BC, PMHNP-BC
NPI 1184676322 · Acute Care Nurse Practitioner · Jacksonville, FL
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Theresa Domagola, ACNP-BC, PMHNP-BC is a Acute Care Nurse Practitioner provider in Jacksonville, FL (NPI 1184676322).
Provider details
- NPI number
- 1184676322
- Entity type
- Individual
- Primary specialty
- Acute Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- ACNP-BC, PMHNP-BC
- Sex
- Female
- Sole proprietor
- No
- License
- 430210 (NY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
20 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
261 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. 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.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 143 | $106 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 66 | $140 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 33 | $66 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 19 | $71 |
Typical Medicare-allowed amounts for these services range $66–$140 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 24 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 183 | 87 |
| Carvedilol | 138 | 69 |
| Amlodipine Besylate | 102 | 57 |
| Rosuvastatin Calcium | 82 | 46 |
| Losartan Potassium | 72 | 34 |
| Metoprolol Succinate | 62 | 35 |
| Spironolactone |
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-05-16
- Last updated
- 2024-06-24
- Certified
- 2024-06-24
Frequently asked questions
- What is Theresa Domagola's NPI number?
- Theresa Domagola's National Provider Identifier (NPI) is 1184676322, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Theresa Domagola's specialty?
- Theresa Domagola is listed in the NPPES registry with a primary specialty of Acute Care Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Theresa Domagola located?
- Theresa Domagola's practice location on file with NPPES is 15255 Max Leggett Pkwy Ste 3600, Jacksonville, FL 32218-7279.
- What is Theresa Domagola's phone number?
- The practice phone number listed in the NPPES registry for Theresa Domagola is (904) 427-6895.
- Does Theresa Domagola accept Medicare?
- Theresa Domagola is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Theresa Domagola's NPI active?
- Yes — Theresa Domagola's NPI (1184676322) is active in the NPPES registry as of the last update on 2024-06-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.