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

Domanic Wiltermood, FNP-C

Individual provider Registered Nurse · NPI 1992489579

Domanic Wiltermood, FNP-C is a Nurse Practitioner in West Lafayette, Indiana. Qualified in 2022, 4 years ago. Practices with Franciscan Physician Network, a 1,171-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
4
Licensed in
IN
In the registry since
2023
Specialties on file
2
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

915 Sagamore Pkwy W
West Lafayette, IN 47906-1443
Phone: (765) 463-2424
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 71014180A (IN)
Registered Nurse Taxonomy 163W00000X · Licence 28225056A (IN)

Record details

NPI number1992489579
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedJune 14, 2023
Last updated in NPPESSeptember 5, 2023
Certification dateSeptember 5, 2023
Mailing addressPo Box 781076, Detroit, MI 48278-1076

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Franciscan Physician Network — 1171 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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