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

Jacob Domoracki, CRNP

Individual provider Critical Care Medicine Registered Nurse · NPI 1245919448

Jacob Domoracki, CRNP is a Nurse Practitioner in Erie, Pennsylvania. Qualified in 2023, 3 years ago. Practices with Saint Vincent Consultants in Cardiovascular Diseases, a 27-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
3
Licensed in
PA
In the registry since
2023
Specialties on file
2
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

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Practice location Address checks out

232 W 25th St
Erie, PA 16544-0001
Phone: (814) 452-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2315 Myrtle St Ste 190, Erie, PA 16502-4604 — (814) 453-7767

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence SP028313 (PA)
Critical Care Medicine Registered Nurse Taxonomy 163WC0200X · Licence RN670780 (PA)

Record details

NPI number1245919448
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNP
Sole proprietorNo
NPI enumeratedJuly 14, 2023
Last updated in NPPESNovember 7, 2023
Certification dateOctober 6, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Saint Vincent Consultants In Cardiovascular Diseases — 27 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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