Doctor profile · Federal record
Dr. Jenna Domino, APNP
Family Nurse Practitioner (CMS: Nurse Practitioner) · Registered Nurse · Manitowoc, WI
- NPI 1780174664
- Accepts Medicare
- MIPS 82.8 / 100 · 2023
- 8 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
2300 Western Ave
Manitowoc, WI 54220
(920) 320-3512 - Mailing address
-
937 S 39Th St
Manitowoc, WI 542204707
Credentials & registration
- NPI registered
- May 2018 — 8 yrs on file
- Profile last updated
- January 23, 2019
- Year of graduation
- 2018 — 8 yrs since
- Specialty taxonomy
- 363LF0000X — NUCC code
- State licenses (2)
- Wisconsin #8540-33 · Wisconsin #218918-30
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1780174664. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
219
Distinct HCPCS
3
Medicare allowed
$21,297
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 132 | 105 | $102 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 66 | 60 | $72 | |
99215 |
Established patient office or other outpatient visit, 40-54 minutes | 21 | 19 | $143 |
In context: peer comparison
Among 4 peers in Manitowoc Family Nurse Practitioner, average services per provider: 73. This provider delivers 3.0× the peer median.Open Payments
Industry payments received
All-time total
$294
Transactions
14
Manufacturers
9
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Amgen INC. | 3 | $69.23 | |
| Novartis Pharmaceuticals Corporation | 2 | $54.67 | |
| CVRx, INC. | 2 | $36.16 | |
| Boehringer Ingelheim Pharmaceuticals, INC. | 2 | $34.30 | |
| Pfizer INC. | 1 | $26.76 | |
| Novo Nordisk INC | 1 | $23.10 | |
| Janssen Pharmaceuticals, INC | 1 | $21.27 | |
| Lexicon Pharmaceuticals, INC. | 1 | $18.85 | |
| Zoll Services LLC (A/K/A Zoll LifeCor Corp) | 1 | $9.86 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
1,312
Patients
545
Total drug cost
$204,667
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Metoprolol Succinate | Generic | 174 | 70 | $4,434 |
| Furosemide | Generic | 146 | 69 | $1,095 |
| Eliquis (Apixaban) | Brand | 112 | 42 | $116,842 |
| Atorvastatin Calcium | Generic | 106 | 44 | $1,709 |
| Losartan Potassium | Generic | 101 | 43 | $1,340 |
| Rosuvastatin Calcium | Generic | 85 | 33 | $1,615 |
| Amlodipine Besylate | Generic | 84 | 42 | $552 |
| Lisinopril | Generic | 79 | 35 | $509 |
| Metoprolol Tartrate | Generic | 75 | 28 | $867 |
| Spironolactone | Generic | 70 | 28 | $730 |
Frequently asked questions
What is Dr. Jenna Domino's medical specialty?
Dr. Jenna Domino practices Family Nurse Practitioner in Manitowoc, WI.
Where does Dr. Jenna Domino practice?
Dr. Jenna Domino practices at 2300 Western Ave, Manitowoc, WI 54220. Office phone: 9203203512.
What is Dr. Jenna Domino's NPI?
Dr. Jenna Domino's National Provider Identifier (NPI) is 1780174664, issued by NPPES.
Does Dr. Jenna Domino accept Medicare assignment?
Yes. Dr. Jenna Domino accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Jenna Domino commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); Established patient office or other outpatient visit (HCPCS 99213); Established patient office or other outpatient visit (HCPCS 99215). Source: CMS Medicare Physician & Other Practitioners file.