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

Michelle Ashley Dominguez, APRN

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1699548008

Michelle Ashley Dominguez, APRN is a Nurse Practitioner in Winter Park, Florida. Qualified in 2023, 3 years ago. Practices with Florida Hospital Medical Group Inc, a 1,715-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
3
Licensed in
FL
In the registry since
2023
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

1573 W Fairbanks Ave Ste 100
Winter Park, FL 32789-4679
Phone: (407) 896-8097
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 11029394 (FL)

Record details

NPI number1699548008
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedNovember 7, 2023
Last updated in NPPESMay 9, 2024
Certification dateMay 9, 2024

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 Florida Hospital Medical Group Inc — 1715 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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