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

Kelly Dominski, APNP

Individual provider Registered Nurse · NPI 1083984868

Kelly Dominski, APNP is a Nurse Practitioner in West Allis, Wisconsin. Qualified in 2012, 14 years ago. Practices with Aurora Medical Group, Inc, a 3,741-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
14
Licensed in
WI
In the registry since
2012
Specialties on file
2
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Practice location Address checks out

8901 W Lincoln Ave
West Allis, WI 53227-2409
Phone: (414) 328-6000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 5166 (WI)
Registered Nurse Taxonomy 163W00000X · Licence 170180-30 (WI)

Record details

NPI number1083984868
Entity typeIndividual (Type 1)
GenderFemale
Credentials APNP
Sole proprietorNo
NPI enumeratedJanuary 10, 2012
Last updated in NPPESDecember 1, 2021
Certification dateDecember 1, 2021
Mailing address8901 W Lincoln Ave, West Allis, WI 53227-2409

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Aurora Medical Group, Inc. — 3741 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in West Allis