Jacqueline D. Dominick, CRNP
NPI 1366424921ActiveIndividual· Nurse Practitioner, Acute Care· Glen Burnie, MD
Nurse Practitioner, Acute Care (CRNP) in Glen Burnie, Maryland, trained at University of Maryland School of Medicine (class of 1997). Medicare paid $19,635 for services to 153 patients in 2024. Lantheus Medical Imaging, Inc. reported $23.40 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1366424921 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | CRNP |
| Sole proprietor | No |
| NPI issued | Nov 18, 2005 |
| Last updated in NPPES | Dec 3, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Acute Care Primary | 363LA2100X | R097460 | MD |
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 (MD) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 153 |
|---|---|
| Services billed | 223 across 3 procedure codes |
| Paid by Medicare | $19,635 |
Education and affiliations
| Medical school | University of Maryland School of Medicine |
|---|---|
| Graduation year | 1997 |
| Medicare specialty | Nurse Practitioner |
Medical group
- University of Maryland Baltimore Washington Heart Associates LLCGlen Burnie, MD · 26 clinicians
Hospital affiliation
- University of MD Baltimore Washington Medical CenterGlen Burnie, MD
Industry payments (Open Payments)
- 2025$23.40 · 1 payment from 1 company
- 2024$14.44 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Lantheus Medical Imaging, Inc. | $23.40 | 1 |
What the 2025 payments were for
- Food and Beverage$23.40 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 25 acute care nurse practitioners in Glen Burnie · All acute care nurse practitioners in Maryland