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

Dominika Anna Jeznach

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1255200325

Dominika Anna Jeznach is a Nurse Practitioner in North Port, Florida. Qualified in 2025, 1 year ago. Practices with Dr Luisa Vega DNP LLC, a 80-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
1
Licensed in
FL
In the registry since
2025

Practice location Address checks out

4942 Ariton Rd
North Port, FL 34288-2374
Phone: (847) 219-0465
Show map & directions

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

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence APRN11042948 (FL)

Record details

NPI number1255200325
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 5, 2025
Last updated in NPPESNovember 5, 2025
Certification dateNovember 5, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Dr Luisa Vega Dnp Llc — 80 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in North Port