Marlee Domangue
NPI 1962230425 · Physician Assistant · Jackson, MS
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Marlee Domangue is a Physician Assistant provider in Jackson, MS (NPI 1962230425).
Provider details
- NPI number
- 1962230425
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Mailing address
Additional practice locations (1)
- 935 Timberton DrPearl, MS 39208-8639Phone: (662) 202-7726
Registry dates
- Enumerated
- 2024-07-24
- Last updated
- 2025-01-28
- Certified
- 2025-01-28
Frequently asked questions
- What is Marlee Domangue's NPI number?
- Marlee Domangue's National Provider Identifier (NPI) is 1962230425, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Marlee Domangue's specialty?
- Marlee Domangue is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Marlee Domangue located?
- Marlee Domangue's practice location on file with NPPES is 971 Lakeland Dr Ste 750, Jackson, MS 39216-4608.
- What is Marlee Domangue's phone number?
- The practice phone number listed in the NPPES registry for Marlee Domangue is (601) 200-4970.
- Does Marlee Domangue accept Medicare?
- Marlee Domangue is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Marlee Domangue's NPI active?
- Yes — Marlee Domangue's NPI (1962230425) is active in the NPPES registry as of the last update on 2025-01-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.