Theresa M. Domagola, ACNP-BC, PMHNP-BC
NPI 1184676322ActiveIndividual· Nurse Practitioner, Acute Care· Jacksonville, FL
Nurse Practitioner, Acute Care (ACNP-BC, PMHNP-BC) in Jacksonville, Florida, trained at University of Rochester School of Medicine and Dentistry (class of 2003). Their prescriptions cost Medicare Part D more than their services did: $187,026 for 1,252 claims, against $24,476 paid for services in 2024. Axsome Therapeutics, Inc. reported $122.57 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1184676322 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | ACNP-BC, PMHNP-BC |
| Sole proprietor | No |
| NPI issued | May 16, 2006 |
| Last updated in NPPES | Jun 24, 2024 |
| Certified by provider | Jun 24, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Acute Care Primary | 363LA2100X | 11002747 | FL |
| Nurse Practitioner, Acute Care | 363LA2100X | 430210 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (FL); Practitioner - Nurse Practitioner (NY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 204 |
|---|---|
| Services billed | 316 across 18 procedure codes |
| Paid by Medicare | $24,476 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,252 · 3,256 30-day fills |
|---|---|
| Patients | 367 |
| Total drug cost | $187,026 |
| Generic share | 87% of claims |
Education and affiliations
| Medical school | University of Rochester School of Medicine and Dentistry |
|---|---|
| Graduation year | 2003 |
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical groups
- Grow Healthcare Group PAWashington, DC · 1,085 clinicians
- University of Florida Jacksonville Physicians, Inc.Jacksonville, FL · 910 clinicians
Hospital affiliation
- Shands JacksonvilleJacksonville, FL
Industry payments (Open Payments)
- 2025$122.57 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Axsome Therapeutics, Inc. | $122.57 | 1 |
What the 2025 payments were for
- Food and Beverage$122.57 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 88 acute care nurse practitioners in Jacksonville · All acute care nurse practitioners in Florida