Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Tina Marie Dominey, DNP, CRNP, AGNP-C

Individual provider Primary Care Nurse Practitioner · NPI 1962123505

Tina Marie Dominey, DNP, CRNP, AGNP-C is a Nurse Practitioner in Baltimore, Maryland. Qualified in 2022, 4 years ago. Practices with Maryland Family Care Inc, a 158-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Maryland.

Years since qualifying
4
Licensed in
MD
In the registry since
2022
What do these letters mean?
DNP — Doctor of Nursing Practice
The highest clinical degree in nursing.
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

345 Saint Paul St
Baltimore, MD 21202-2123
Phone: (410) 332-9000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence R195420 (MD)

Record details

NPI number1962123505
Entity typeIndividual (Type 1)
GenderFemale
Credentials DNP , CRNP , AGNP-C
Sole proprietorNo
NPI enumeratedSeptember 12, 2022
Last updated in NPPESSeptember 12, 2022
Certification dateSeptember 10, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Maryland Family Care Inc — 158 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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