Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Dominique Cerise Erly, PA-C

Individual provider Physician Assistant · NPI 1497397921

Mrs. Dominique Cerise Erly, PA-C is a Physician Assistant in Fayetteville, Arkansas. Graduated from Wake Forest University School of Medicine in 2019, 7 years ago. Practices with University of Vermont Medical Center Inc, a 1,202-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
7
Trained at
Wake Forest University School of Medicine
Licensed in
WI
In the registry since
2019
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

3276 N Northhills Blvd
Fayetteville, AR 72703-4005
Phone: (479) 404-2110
Fax: (479) 404-2111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 4835-23 (WI)

Record details

NPI number1497397921
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 16, 2019
Last updated in NPPESDecember 28, 2021
Certification dateDecember 28, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolWAKE FOREST UNIVERSITY SCHOOL OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice University Of Vermont Medical Center Inc — 1202 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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