Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Carlo Domingo, AGNP-C

Individual provider Adult Health Nurse Practitioner · NPI 1194251272

Carlo Domingo, AGNP-C is a Nurse Practitioner in Hainesville, Illinois. Graduated from Johns Hopkins University School of Medicine in 2015, 11 years ago. Practices with Zeta Visiting Physician LLC, a 3-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
11
Trained at
Johns Hopkins University School of Medicine
Licensed in
IL
In the registry since
2017
Specialties on file
2

Practice location Address checks out

4 N Deer Point Dr Ste 1002
Hainesville, IL 60030-3814
Phone: (847) 946-0198
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 209.019378 (IL)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 209.019378 (IL)

Record details

NPI number1194251272
Entity typeIndividual (Type 1)
GenderMale
Credentials AGNP-C
Sole proprietorNo
NPI enumeratedMay 10, 2017
Last updated in NPPESOctober 11, 2021
Certification dateOctober 11, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolJOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2015 (11 years in practice)
Group practice Zeta Visiting Physician Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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