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

Natalie Keane Domeisen

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1366070492

Natalie Keane Domeisen is a Diagnostic Radiology in Ypsilanti, Michigan. Graduated from Wake Forest University School of Medicine in 2020, 6 years ago. Practices with Wake Forest Health Network LLC, a 271-clinician group and accepts Medicare assignment.

Years since qualifying
6
Trained at
Wake Forest University School of Medicine
In the registry since
2020

Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Ypsilanti, MI

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1366070492
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 1, 2020
Last updated in NPPESApril 1, 2020
Certification dateApril 1, 2020

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolWAKE FOREST UNIVERSITY SCHOOL OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice Wake Forest Health Network Llc — 271 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Ypsilanti