Jenna Mae Domino, APNP
NPI 1780174664ActiveIndividual· Nurse Practitioner, Family· Manitowoc, WI
Nurse Practitioner, Family (APNP) with Froedtert Manitowoc Medical Group, LLC, practicing in Manitowoc, Wisconsin. Their prescriptions cost Medicare Part D more than their services did: $382,026 for 2,540 claims, against $18,549 paid for services in 2024. Novartis Pharmaceuticals Corporation reported $26.64 in payments in 2025, mostly food and beverage. Lists Holy Family Memorial as a hospital affiliation.
Overview
| NPI | 1780174664 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | APNP |
| Sole proprietor | No |
| NPI issued | May 16, 2018 |
| Last updated in NPPES | Jan 23, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 8540-33 | WI |
| Registered Nurse | 163W00000X | 218918-30 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 171 |
|---|---|
| Services billed | 800 across 10 procedure codes |
| Paid by Medicare | $18,549 |
Part D prescriptions in 2024
| Prescriptions (claims) | 2,540 · 6,059 30-day fills |
|---|---|
| Patients | 393 |
| Total drug cost | $382,026 |
| Generic share | 83% of claims |
Education and affiliations
| Graduation year | 2018 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Froedtert Manitowoc Medical Group, LLCSheboygan, WI · 156 clinicians
Hospital affiliation
- Holy Family MemorialManitowoc, WI
Industry payments (Open Payments)
- 2025$26.64 · 1 payment from 1 company
- 2024$294.20 · 14 payments from 9 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Novartis Pharmaceuticals Corporation | $26.64 | 1 |
What the 2025 payments were for
- Food and Beverage$26.64 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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